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System and Method for Electronically Monitoring, Alerting, and Evaluating Changes in a Health Care Payor Policy

机译:电子监控,警报和评估卫生保健付款人政策变更的系统和方法

摘要

In one or more embodiments, a contract management system provides an alert sub-utility that includes web-based data mining tools to automatically detect changes to a carrier's website and a notification sub-utility for packaging and communicating these changes. These data mining tools parse through XML tags nested within a tree of the carrier's website and determine whether any changes have been made to the web document. These XML tags allow the data mining tool to focus its efforts in extracting particular data of interest. Once the changes of interest have been extracted, the notification sub-utility of one or more embodiments of the present invention creates and communicates an alert to the healthcare provider. The methods and systems of one or more preferred embodiments provide healthcare providers with a more focused and timely alert of changes to a carrier's policy. Further, they provide the health care provider with historical revenue data in combination with the policy change alerts.
机译:在一个或多个实施例中,合同管理系统提供了警报子实用程序,该警报子实用程序包括用于自动检测对承运人的网站的更改的基于Web的数据挖掘工具,以及用于打包和传达这些更改的通知子实用程序。这些数据挖掘工具通过嵌套在运营商网站树中的XML标签进行解析,并确定是否对Web文档进行了任何更改。这些XML标签使数据挖掘工具可以集中精力提取感兴趣的特定数据。一旦提取了感兴趣的变化,本发明的一个或多个实施例的通知子实用程序就创建警报并将警报传达给医疗保健提供者。一个或多个优选实施例的方法和系统向医疗保健提供者提供关于承运人的政策的改变的更加集中和及时的警报。此外,它们结合策略更改警报为医疗保健提供者提供历史收入数据。

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