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| Number | Title | Issue Date |
| 8121869 | Computer-implemented method for grouping medical claims based upon changes in patient condition A computer-implemented method for profiling medical claims to assist health care managers in determining the cost-efficiency and service quality of health care providers. The method allows an objective means for measuring and quantifying health care services. An epi... | 02/21/2012 |
| 8069080 | Methods for generating healthcare provider quality and cost rating data A method for generating healthcare provider quality rating data includes grouping claim records into one or more claim groups, assigning each claim group to a responsible provider, assessing the claim records in each claim group using guidelines for the particular d... | 11/29/2011 |
| 8005687 | System, method and computer program product for estimating medical costs Various embodiments for estimating a cost of a medical procedure. In one example, a method may include the operations of averaging data from various geographies of the amount billed to form a national average amount billed for the medical procedure; associating the ... | 08/23/2011 |
| 7979290 | Computer-implemented method for grouping medical claims into episode treatment groups A computer-implemented method for profiling medical claims to assist health care managers in determining the cost-efficiency and service quality of health care providers. The method allows an objective means for measuring and quantifying health care services. An epi... | 07/12/2011 |
| 7966196 | System and method for early identification of safety concerns of new drugs A computer-implemented system and method for administering a drug registry database generates a display of a plurality of new drug/comparator drug pairings, wherein each new drug is added to the database when a threshold number of healthcare claims for the new drug ... | 06/21/2011 |
| 7917525 | Analyzing administrative healthcare claims data and other data sources Techniques suitable for identifying potential subjects for a clinical trial and other applications are disclosed. One or more exclusion or inclusion criteria are defined for the clinical trial. One or more specialized searching tables are pre-generated using adminis... | 03/29/2011 |
| 7917374 | System and method for early identification of safety concerns of new drugs Method and system for identifying safety concerns regarding a new drug. In one example, a database of healthcare claims is utilized and the method may include identifying from the database a first group of patients that have received the drug; extracting one or more... | 03/29/2011 |
| 7856362 | System and method for early identification of safety concerns of new drugs A system and method for identifying safety concerns regarding a drug identify a first group of patients that have received the drug from a database of healthcare claims and extract one or more medical events that the first group of patients have experienced from the... | 12/21/2010 |
| 7801749 | System and method for grouping claim records associated with a procedure A system and computer-implemented method for grouping medical records implements a multi-level analysis of the records. The level of analysis for each record is determined based upon the time proximity of each record to the defining medical procedure or service (anc... | 09/21/2010 |
| 7774252 | Method and system for generating statistically-based medical provider utilization profiles A method and system for analyzing historical medical provider billings to statistically establish a normative utilization profile. Comparison of a medical provider's utilization profile with a normative profile is enabled. Based on historical treatment patterns and ... | 08/10/2010 |
| 7774216 | Computer-implemented method for grouping medical claims based upon changes in patient condition A computer-implemented method for profiling medical claims to assist health care managers in determining the cost-efficiency and service quality of health care providers. The method allows an objective means for measuring and quantifying health care services. An epi... | 08/10/2010 |
| 7725333 | Cluster of correlated medical claims in an episode treatment group A computer-implemented method for profiling medical claims to assist health care managers in determining the cost-efficiency and service quality of health care providers. The method allows an objective means for measuring and quantifying health care services. An epi... | 05/25/2010 |
| 7711660 | Processing health insurance data utilizing data quality rules In a system and method for processing data, a user interface enables a user to enter mapping data to enable incoming data to be converted to a common data format. A database stores the mapping data and data quality rules, and a receiver receives data from a data sou... | 05/04/2010 |
| 7698155 | System for determining a disease category probability for a healthcare plan member A system and method is provided for determining a probability that a member of a health plan has a disease or condition within one or more disease categories, by using data from the member's pharmacy claims. Logistic regression models are generated for each conditio... | 04/13/2010 |
| 7640175 | Method for high-risk member identification A method for using claims data to identify high-risk members of a healthcare plan is disclosed. In one embodiment, the present invention includes searching the plurality of claims of members selected by a filtering criteria to identify the presence of an interventio... | 12/29/2009 |
| 7620560 | Computer-implemented method for grouping medical claims with clinically representative dynamic clean periods A computer-implemented method for profiling medical claims to assist health care managers in determining the cost-efficiency and service quality of health care providers. The method allows an objective means for measuring and quantifying health care services. An epi... | 11/17/2009 |
| 7444291 | System and method for modeling of healthcare utilization A system and method for modeling healthcare utilization based on usage data from physician claims, hospital claims, and pharmacy claims. The method includes extracting from a claims file the portion of the data from a base period that is relevant to modeling healthc... | 10/28/2008 |
| 7222079 | Method and system for generating statistically-based medical provider utilization profiles A method and system for analyzing historical medical provider billings to statistically establish a normative utilization profile. Comparison of a medical provider's utilization profile with a normative profile is enabled. Based on historical treatment patterns and ... | 05/22/2007 |
| 7158979 | System and method of de-identifying data A method of de-identifying data, wherein the data to be de-identified is stored in a transaction table containing transactions and a personal information table containing identifiable information. The method includes the steps of generating a de-identification point... | 01/02/2007 |
