IP Library Patent Application 13495056
Patent Application
App. No. 13/495,056

Systems and Methods for Managing Payments and Related Payment Information for Healthcare Providers

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Quick Facts
Patent No.
US None
App. No.
13/495,056
Abstract

Systems and methods for managing payments and related payment information for healthcare providers, where payments are made by payors other than a patient, are disclosed. In some embodiments the system provides different services to member and non-member providers.

Claims (33)

1 . A method comprising:

receiving, at a processor, at least one payment request from at least one payor, the at least one payment request requesting processing of a plurality of payments to be paid by the at least one payor;

determining, via the processor, that the plurality of payments are payable to a service provider for medical services rendered by the service provider;

determining, via the processor, a single payment, the single payment aggregating funds of the at least one payor to pay the plurality of payments requested by the at least one payment request; and

providing, via the processor, an instruction to make the single payment to the service provider.

2 . The method of claim 1 further comprising storing information related to the single payment on a server accessible via the world wide web, wherein the information further comprises an explanation of benefits for each of the plurality of payments.

3 . The method of claim 1 further comprising: storing information sufficient to identify a service provider's merchant account and pushing the single payment into the service provider's merchant account.

4 . The method of claim 3 further comprising: transmitting a notification message to the service provider informing the service provider that the single payment has been transferred into the service provider's merchant account.

5 . The method of claim 1 further comprising: storing information sufficient to identify a service provider's bank account and transferring the single payment to the service provider's bank account.

6 . The method of claim 5 further comprising: transmitting a notification message to the service provider informing the service provider that the single payment has been transferred into the service provider's bank account.

7 . The method of claim 6 wherein the step of transferring the single payment to the service provider's bank account comprising using the Automated Clearing House payment rails.

8 . The method of claim 1 further comprising: storing information related to the single payment on a server accessible via the world wide web, wherein the step of storing the information includes storing information related to the at least one payment file and the at least one payor including an explanation of benefits for each at least one payment file.

9 . A method comprising:

receiving, at a processor, at least one payment request from at least one payor, the at least one payment request requesting processing of a plurality of payments to be paid by the at least one payor;

identifying, via the processor, payments to a service provider requested by the at least one payment request;

determining, via the processor, whether the service provider is a member provider;

if the service provider is a not a member provider;

providing, via the processor, an instruction requesting a print check vendor to print one or more checks in the amount of each of the plurality of payments to be paid by the at least one payor to the non-member provider.

10 . A system comprising:

a processor for executing instructions stored in computer-readable medium on one or more devices to perform operations, the operations comprising:

receiving at least one payment request from at least one payor, the at least one payment request requesting a plurality of payments;

determining that one or more of the plurality of payments are payable to a service provider for medical services rendered by the service provider;

determining a single payment, the single payment aggregating funds to pay the plurality of payments requested by the at least one payment request; and

providing an instruction to make the single payment to the service provider.

11 . The system of claim 10 wherein the operations further comprises storing information related to the single payment on a server accessible via the world wide web, wherein the information further comprises an explanation of benefits for each of the plurality of payments.

12 . The system of claim 10 wherein the operations further comprises transmitting a notification message to the service provider informing the service provider that the single payment has been transferred into the service provider's merchant account.

13 . A computer program product comprising a computer-readable medium embodying program code, the program code comprising:

code for receiving at least one payment request from at least one payor, the at least one payment request requesting a plurality of payments;

code for determining that one or more of the plurality of payments are payable to a service provider for medical services rendered by the service provider;

code for determining a single payment, the single payment aggregating funds to pay the plurality of payments requested by the at least one payment request; and

code for providing an instruction to make the single payment to the service provider.

14 . The computer program product of claim 13 , the program code further comprising:

code for sending a notification to the service provider that the single payment has been made.

Assignments (9)
RELEASE OF SECURITY INTEREST RECORDED AT REEL/FRAME 037586/0226 Recorded Oct 3, 2019
From: SUNTRUST BANK
To: ZELIS PAYMENTS, INC. (F/K/A PAY-PLUS SOLUTIONS, INC.)
Reel/Frame 050630/0177 →
PAYOFF LETTER AND RELEASE OF SECURITY INTEREST RECORDED AT REEL/FRAME 37603/0120 Recorded Sep 27, 2019
From: STELLUS CAPITAL INVESTMENT CORPORATION
To: PAY-PLUS SOLUTIONS, INC.
Reel/Frame 050579/0965 →
RELEASE OF SECURITY INTEREST Recorded Mar 6, 2018
From: COMERICA BANK
To: PREMIER HEALTHCARE EXCHANGE, INC.
Reel/Frame 045115/0162 →
CHANGE OF NAME Recorded Sep 13, 2016
From: PAY-PLUS SOLUTIONS, INC.
To: ZELIS PAYMENTS, INC.
Reel/Frame 040014/0253 →
PATENT SECURITY AGREEMENT Recorded Jan 27, 2016
From: PAY-PLUS SOLUTIONS, INC.
To: STELLUS CAPITAL INVESTMENT CORPORATION, AS ADMINISTRATIVE AGENT
Reel/Frame 037603/0120 →
SECURITY INTEREST Recorded Jan 26, 2016
From: PAY-PLUS SOLUTIONS, INC.
To: SUNTRUST BANK, AS ADMINISTRATIVE AGENT
Reel/Frame 037586/0226 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 24, 2015
From: PREMIER HEALTHCARE EXCHANGE, INC.
To: PAY-PLUS SOLUTIONS, INC.
Reel/Frame 035015/0528 →
SECURITY AGREEMENT Recorded Nov 26, 2013
From: PREMIER HEALTHCARE EXCHANGE, INC.
To: COMERICA BANK, A TEXAS BANKING ASSOCIATION
Reel/Frame 031729/0487 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jun 13, 2012
From: VERHULST, JAY R.; HEMMER, ROBERT M.; ROBERTI, TODD
To: PREMIER HEALTHCARE EXCHANGE, INC.
Reel/Frame 028364/0663 →