MEDICAL CLAIMS PAYMENT SYSTEM WITH PAYMENT CONSOLIDATION FROM MULTIPLE EMPLOYER ACCOUNTS

摘要

Segregated employer group settlement accounts (10₁, 10₂, . . . , 10_N) receive payments for medical insurance claims and an explanation of benefits (EOB) memory (14) receives an explanation of the medical services of multiple medical service providers against which parts of the payment are to be applied and explanations of amounts due by individual patients. An electronic sorting and transfer processor (16) in accordance with the explanations of benefits, electronically transfers funds from each of the employer group settlement accounts into each of a plurality of medical service provider settlement accounts (26₁, 26₂, . . . 26_M) without co-mingling funds. The funds from the service provider settlement accounts are transferred (30) to each medical service provider's banking institution (32) concurrently with an electronic transfer of the corresponding EOBs to the medical service provider's accounting system (34).