METHOD FOR REDUCING FRAUD IN HEALTHCARE PROGRAMS USING A SMART CARD

Patent №

US 6,826,535

Granted

2004-11-30

Filed 2003

Owner

Lab

AI components

1

planning

Assignment

None on record

Dataset

AIPD

2023_r1 edition

Application

10428609

The invention is a method for reducing fraud in a healthcare program by registering a service provider with a private healthcare provider and issuing a service provider identification codes, registering at least one service of the service provider with the private healthcare provider and identifying a claim code for each registered service; issuing a smart card to an individual related to a benefits program of the private healthcare provider wherein the individual has an identification code and the smart card has a feature to identify the individual; using the smart card to determine if the individual is the authorized card bearer and is eligible for the healthcare program; using the smart card to determine if a service provider is preauthorized to provide a registered product under the private healthcare provider program; and using the smart card to facilitate a transmission between the service provider and the private healthcare provider.

PlanningG07F 7/1008G06Q 10/10G06Q 20/28G06Q 20/341G06Q 20/3576G06Q 40/08

AI classification

Planning0.94
Vision0.25
AI hardware0.05
Knowledge representation0.01
Evolutionary computation0.00
Speech0.00
Machine learning0.00
Natural language0.00
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