SYSTEM AND METHOD FOR SELECTING HEALTHCARE MANAGEMENT

Patent №

US 7,979,283

Granted

2011-07-12

Filed 2004

Owner

THE TRIZETTO GROUP, INC.

+1 more

Lab

AI components

1

kr

Assignment

Recorded

Dataset

AIPD

2023_r1 edition

Application

11023199

The present invention is directed to a system and method which allows a prospective insured to make an informed decision on healthcare insurance or a specific health care management decision by using a current medical profile to assist in their selection. Based on past medical care, as obtained from payor data, a number of different plans, each having different providers, different deductibles, different maximums, different reimbursement policies, etc., a person can make an informed decision. When a family has different payors for different family members, a proper blend of payors can be more easily selected since the payors (or a single payor) has a medical profile of each family member and also has information on providers in the network, prescription policies, deductibles, maximums, etc.

Knowledge representationG06Q 30/0631G06Q 10/10G06Q 40/08G06Q 99/00G16H 10/60G16H 40/20

AI classification

Knowledge representation0.66
Planning0.40
AI hardware0.00
Natural language0.00
Vision0.00
Machine learning0.00
Evolutionary computation0.00
Speech0.00

Ownership

THE TRIZETTO GROUP, INC.

assignment · 161380280

TRIZETTO CORPORATION

namechg · 305320340

Assignors

DEAN, VAL C.

On an employer assignment, the assignors are typically the inventors.

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