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Systems and Methods for Cross-border Health Insurance

机译:跨境健康保险的系统和方法

摘要

A system and method for guarantor computing system to provide cross-border healthcare services to an adherent. The guarantor computing system may be configured to receive an eligibility request from a first computing system, determine that the policy is associated with a different territory/location, determine a disease-related condition (DRC), generate and send a proxy eligibility request and the DRC to a second computing system in a second territory/location, receive a proxy healthcare approval confirmation message from the second computing system, and generate a healthcare approval message based on a combination of the information included in the proxy healthcare approval confirmation message, the information included in the service eligibility request, and information stored in a memory coupled to the computing system. The computing system may send the generated healthcare approval message to the first computing system to cause the first computing system to approve the provision of the healthcare service.
机译:一种用于保证者计算系统向粘附者提供跨境医疗服务的系统和方法。担保人计算系统可以被配置为从第一计算系统接收资格请求,确定该策略与不同的领土/位置相关联,确定疾病相关状况(DRC),生成并发送代理资格请求,并且DRC到第二地区/位置中的第二计算系统,从第二计算系统接收代理医疗批准确认消息,并基于代理医疗批准确认消息中包含的信息的组合生成医疗批准消息,该信息包括在服务资格请求中的信息,以及存储在与计算系统耦合的存储器中的信息。计算系统可以将生成的医疗保健批准消息发送到第一计算系统,以使第一计算系统批准医疗保健服务的提供。

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