INSURANCE CLAIM PROCESSING

Brand	Owner (click to sort)	Address	Description
HELIOS	PROGRESSIVE ENTERPRISES HOLDINGS, INC.	6410 POPLAR AVENUE, SUITE 800 MEMPHIS TN 38119	Insurance claim processing in the field of medical benefits; Insurance claim reporting services, namely, creating and submitting reports relating to Medicare settlements on behalf of benefits administrators;Healthcare cost containment;Medical therapy management and medical evaluation services pertaining thereto, namely, functional assessment programs dealing with prescribed drug use protocols for the purposes of guiding treatment and assessing program effectiveness;Software as a service services featuring software for Medicare Secondary Payer compliance and Mandatory Insurer Reporting (MIR);
MERX	Merx Health Corporation	43 Elm Street, Suite 200 Sudbury Ontario P3C 1S4 Canada	Insurance claim processing, namely, health benefit claims processing;
RAISE YOUR AWARENESS LOWER YOUR RISK	QBE HOLDINGS, INC.	88 Pine Street, 10th Floor New York NY 10005	Insurance claim processing; insurance information and consultancy; insurance underwriting in the field of property and casualty insurance; providing information in insurance matters;
RISK REVEAL	QBE HOLDINGS, INC.	88 Pine Street, 10th Floor New York NY 10005	Insurance claim processing; insurance information and consultancy; insurance underwriting in the field of property and casualty insurance; providing information in insurance matters;RISK;
	Where the owner name is not linked, that owner no longer owns the brand

Technical Examples

Methods and systems for interactively creating and submitting insurance claims and determining whether the submitted claims are in condition for payment by an insurer. A medical technician operating a client computer establishes communication with a remote server. The remote server transmits a claim form to the client computer for display to the medical technician. Using the claim form, the technician enters patient identification information, which is transmitted to the server to determine whether the patient is a beneficiary of an approved insurance plan. If the patient is a beneficiary, the technician can prepare an insurance claim using the claim form displayed by the client computer. The technician enters a diagnosis code and a treatment code representing the diagnosis and treatment of the patient. The diagnosis and treatment codes are transmitted to the remote server, which processes the codes to determine whether the claim corresponds to health care services that are approved for payment. If the insurance claim is not in condition for payment, the medical technician is notified. The medical technician can then amend the insurance claim as necessary and resubmit the claim.