And a user interface system that supports the use of rules for processing billing data and other health care.

摘要

SOLUTION: A centralized rule repository, patients in when you support permit verification of the appropriateness of medical procedures, patient referral, treatment, data input editing, invoicing electronic, electronic remittance processing claims and status determination and holds rules that are expressed consistently used to process the billing data. System for managing the rules used to process the billing data related to the delivery of healthcare to a patient includes an interface processor for obtaining data representing the rules from several different sources. The system includes a rules processor in response to a message received and rule repository, to accumulate data representing a rule obtained, starts the application to request the data processing of the selected rule obtained from the repository. Result processor processes for output the results obtained by applying to the billing data to the selected rule. In addition, the interface processor converts the common syntax suitable for storage in the rule repository rule obtained.