CUSTOMIZABLE PAYMENT SYSTEM AND METHOD
A system and method facilitates secure payments to a payee, according to custom preferences of the payee. The system is offered by the payer (as opposed to the biller) using a third party and, a payee can enroll with a customized account processing center (CAPC), which is the third party. The CAPC captures and stores payment information about the payee from the payer and payee. The payee registers preferences for funds deposit and also the payee's preferred remittance format. When a payee is registered and elects payment via electronic funds transfer, the CAPC issues instructions to the bank to transfer funds from the payer's bank account to the payee's registered preferred bank account. The CAPC can also create a detailed record of payment histories and remittance details which are accessible to the payee. Remittance details are delivered in the payee's registered preferred format and routed to the payee's registered destination.
1 . A method for facilitating automated and secure payment by a customized account processing center (CAPC) between an insurance company and a health care provider, comprising:
identifying a health care provider to which an insurance company is to direct electronic payments via the CAPC;
determining whether the health care provider is registered with the CAPC;
determining whether registration information has been issued to the health care provider where the health care provider is not registered with the CAPC;
issuing the health care provider the registration information where the registration information has not been issued to the health care provider;
soliciting the health care provider to register with the CAPC based on the registration information where the registration information has been issued to the health care provider and the health care provider is not registered with the CAPC; and
directing an automated payment to the health care provider based upon one or more predetermined payee payment rules where the health care provider is registered with the CAPC.
2 . The method of claim 1 , further comprising determining that the health care provider is not registered with the CAPC and that the registration information has been issued to the health care provider, wherein soliciting the health care provider to register with the CAPC is based at least in part on determining that the health care provider is not registered with the CAPC and that the registration information has been issued to the health care provider.
3 . The method of claim 1 , further comprising:
determining that the health care provider registers with CAPC;
receiving and storing provider information from the health care provider, wherein the provider information comprises account information of the health care provider; and
storing the health care provider in the database and activating the health care provider as an electronic payee.
4 . The method of claim 3 , further comprising authenticating the health care provider based on a registration code received in the provider information, wherein the registration code is included in the registration information issued to the health care provider, and wherein health care provider is activated as the electronic payee in response to the successful authentication of the health care provider.
5 . The method of claim 3 , wherein the provider information further comprises payer payments formats or pre-determined payee payment rules.
6 . The method of claim 1 , further comprising pre-registering the health care provider prior to an outstanding claim being issued for the insurance company so that the CAPC can direct future payments to the health care provider on behalf of the insurance company, wherein the issuing the registration information or the soliciting to register are performed as part of the pre-registering the health care provider.
7 . The method of claim 1 , further comprising:
in response to determining that the health care provider is registered with the CAPC:
creating a record of payments to the health care provider that is accessible to the registered health care provider, the record of payments includes at least one of a record of each payment to the health care provider, an invoice number, a payment amount and a treatment code; and
sending the health care provider a notification of the automated payment.
8 . The method of claim 7 , wherein the record of payments is accessible to the health care provider, allowing the health care provider to reconcile payments received with outstanding invoices.
9 . The method of claim 1 , further comprising storing information about the health care provider in the database and indicating that the health care provider is to receive paper checks where the health care provider is not registered with the CAPC.
10 . The method of claim 1 , further comprising directing payment to the health care provider by paper instrument where the health care provider is not registered with the CAPC.
11 . The method of claim 1 wherein the insurance company comprises at least one of an insurance service provider, a third party administrator or another health care payer.
12 . The method of claim 1 further comprising issuing a prior payment registration code or an on-the-fly registration code for the health care provider in response to determining that an existing registration code for the health care provider has not been issued for the health care provider when processing a payment file from the insurance company.
13 . A system for automated and secure payment, comprising:
a hardware processor;
a customized account processing engine operable on the processor and including a payment request module, the payment request module receiving at least one request for making payment to at least one health care provider;
a registration module operable on the processor and configured for:
identifying a health care provider to which an insurance company is to direct electronic payments via a customized account processing center (CAPC);
determining whether the health care provider is registered with the CAPC;
determining whether registration information has been issued to the health care provider where the health care provider is not registered with the CAPC
issuing the health care provider the registration information where the registration information has not been issued to the health care provider; and
soliciting the health care provider to register with the CAPC based on the registration information where the registration information has been issued to the health care provider and the health care provider is not registered with the CAPC;
a payment processing module operable on the processor and for facilitating payment to the health care provider based upon the at least one request for making payment; and
a records module operable on the processor and for creating a record of one or more payments to the health care provider.
14 . The system of claim 13 , wherein the registration module is further configured for:
determining that the health care provider registers with the CAPC;
receiving and storing provider information from the health care provider in response to the health care provider registering with the CAPC, wherein the provider information comprises account information of the health care provider;
authenticating the health care provider by authenticating at least a portion of received registration information; and
storing the health care provider in the database and activating the health care provider as an electronic payee in response to the successful authentication of the health care provider.
15 . The system of claim 14 , wherein the registration information further includes at least one of an address, preferred payment, or payment rules for the health care provider.
16 . The system of claim 13 , wherein the payment processing module directs the payment as an automated payment to the health care provider based upon one or more predetermined payee payment rules where the registration module determines the health care provider is registered with the CAPC.
17 . The system of claim 13 , wherein the payment processing module directs payment to the health care provider by a paper instrument where the registration module determines the health care provider is not registered with the CAPC.
18 . The system of claim 13 , wherein the records module includes payment details for a plurality of insurance companies and payees in one or more records, including at least one of payment amounts, date of payment, invoice numbers for which payment is being made, a payment amount and a payee treatment code.
19 . The system of claim 13 , wherein the records module is accessible to the health care provider to facilitate confirmation of payment amounts and reconciliation of invoices.
20 . The system of claim 13 , wherein the registration module is further configured for pre-registering the health care provider prior to an outstanding claim being due so that the CAPC can direct future payments to the health care provider on behalf of the insurance company, wherein the registration module is configured for issuing the health care provider the registration information and soliciting to register with the CAPC as part of the pre-registering the health care provider.
21 . The system of claim 13 , wherein the registration module is further configured for issuing a prior payment registration code or an on-the-fly registration code for the health care provider in response to determining that an existing registration code for the health care provider has not been issued for the health care provider when processing a payment file from the insurance company.