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46 results about "Primary physician" patented technology

A primary care physician is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis.

System and Method for Auditing, Monitoring, Recording, and Executing Healthcare Transactions, Communications, and Decisions

Systems and methods are disclosed for monitoring, recording, verifying, auditing, and executing healthcare communications, decisions, and transactions using centralized storage and blockchain technology. The healthcare communications relate to communications between a patient, doctor, specialist, healthcare provider, a private or government entity that processes and reimburses healthcare providers, insurance provider, and a healthcare facility.
Systems and methods are disclosed for processing, monitoring, recording, verifying, auditing, and executing healthcare communications, decisions, and transactions using centralized storage and blockchain technology. The healthcare communications relate to communications between a patient, doctor, specialist, healthcare provider, a private or government entity that processes and reimburses healthcare providers, insurance provider, and a healthcare facility.
In one embodiment, the system processes a healthcare transaction that relates to medical care provided for a patient that has a medical health plan. The method involves providing a centralized control manager for obtaining, storing, and analyzing healthcare transaction data.
The centralized control manager is connected to a central database and utilizes the central database for storing healthcare data. The centralized control manager operates through a processor. The processor executes instructions stored in the database leading to the centralized control manager performing its functions.
The centralized control manager is electronically and communicatively connected to at least two entities that are part of the authorized entities within the computer network. These entities may include a patient, doctor, primary physician, specialist, payer system, health plan provider, and government entity such as Medicare. The centralized control manager allows bidirectional communication with the centralized control manager and other authorized entities that are allowed to communicate with the centralized control manager and use an electronic device over a computerized network. Communications directly between the entities is also contemplated.
The entities electronically execute a healthcare transaction. The centralized control manager records each executed healthcare transaction into the centralized database as well as posts the transaction to the blockchain. Each entity performing the transaction also posts the details of the transaction to the blockchain. Details include the time and date of transaction, the parties involved, and other details of medical care provided to the patient relating to the transaction.
A prediction engine, utilizing machine learning technology, uses the data of all the transactions obtained to continuously enhance and predict the outcome of future transactions and make suggestions as needed. If any transaction deviates above a certain limit, e.g. a medical claim is filed or a medical code is entered that does not fall within a set limit, the prediction engine flags the transaction for review and optionally alerts the entities involved in the transaction.
All of the transactions are replicated to the blockchain by multiple entities in the computer network. These include the transacting entity, the receiving entity, and the centralized control manager. Posting to the blockchain allows for verification and authentication of the transactions.
System and methods also allow automated claim adjudication and dispute resolution between two parties in the healthcare environment. The claim adjudication and dispute resolution relate to medical care provided for patients who have a medical health plan.
The system includes a server computer and a computing device. The server computer is comprised of a central database and a processor as well as a server application that is stored in the central database. The computing device includes an electronic device having a client processor and client database. Both the server and client are communicatively connected.
In this embodiment, a Healthcare Provider executes a transaction that is recorded in the centralized database as well as in the blockchain. The server computer electronically stores the data of the healthcare transaction in the central database and provides access of the transaction to the Healthcare Provider, Payer, and other relevant parties.
Thereafter, the Healthcare Provider files a dispute with the Payer System. The server computer electronically sends an alert to the relevant and authorized parties informing them that a dispute has been filed. The server processor then obtains data from the central database, blockchain, and any other relevant data provided by other parties in the computer network that relate to the disputed healthcare transaction. The processor then parses the data, resolves the dispute, and posts the results to the centralized server and blockchain.
Owner:PATEL MITESHKUMAR ISHWARBHAI

Method For Providing A Disease Management Service

The present invention generally relates to the field of medical services and more specifically to the area of chronic disease management. It comprises a new method for providing a disease management service which utilizes nurse practitioners to engage in regularly scheduled virtual evaluation and management “office visits” with patients, using off-the-shelf videophones for real-time video and audio communications. As these disease management services are delivered to the patient while he remains in his home, such convenient access to professional health care brings about a much closer monitoring of the patient's condition than would be otherwise practical, enabling clinicians to make necessary therapeutic modifications in a timely fashion. Engaging patients in such regularly scheduled office visits also causes increased compliance with recommended regimens and lifestyle modifications, resulting in overall improved management of the patient's chronic condition. Patients are enrolled into the service primarily through referrals from their primary care physicians who sign a Collaboration Agreement with the chronic disease management service. The Collaboration Agreement extends the continuity of care for enrolled patients by keeping the primary care physician informed at all times on the health status of their patients and involved in all important clinical decisions regarding patients referred to the service. The secure Internet-accessible clinical documentation and information systems used in the disclosed method make possible a multi-office practice were information can be seamlessly shared and patient workloads can be distributed across multiple locations. Clinical office visit services provided under the disclosed method qualify for reimbursement by public insurers and many private insurers. The disclosed method represents a novel form of medical practice whose area of operation and potential patient base is unbounded by geographic location, since patients may engage in virtual office visits while remaining in their homes, and the information technology infrastructure utilized allows the disclosed disease management service to deliver medical care from any location that has phone service and an Internet or network connection available.
Owner:INFORMED CARE
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