IP Library Granted Patent US 9,898,581
Granted Patent B2
US 9,898,581 · App. 14/257,784 · Granted Feb 20, 2018

Health care eligibility verification and settlement systems and methods

Inventors: Renee Elahi Lutzen (Omaha, NE); George Nauman (Omaha, NE); David G. Weis (Omaha, NE); Beverly Kennedy (Greenwood Village, CO); Robyn Bartlett (Omaha, NE)
Assignee: First Data Corporation
G06F19/327G06F19/328G06Q10/00G06Q50/22G07G1/0018G07G1/12G06F19/323
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Quick Facts
Patent No.
US 9,898,581
App. No.
14/257,784
Granted
Feb 20, 2018
Kind
B2
Abstract

Devices, systems, and methods for processing healthcare and financial transactions are provided. A point-of-care terminal for processing a healthcare transaction by a healthcare provider includes a reader configured to read information from a healthcare eligibility and settlement presentation instrument associated with a patient, and a processor configured to process a healthcare transaction based on the information, wherein the healthcare transaction includes at least one of a healthcare eligibility verification transaction and a healthcare settlement transaction.

Claims (62)

1. A point-of-care device, comprising:

a display;

a presentation instrument reader that reads a healthcare subscriber identifier and a financial account identifier from a presentation instrument;

one or more processors; and

a memory communicatively coupled with and readable by the one or more processors and having stored therein processor-readable instructions which, when executed by the one or more processors, cause the one or more processors to:

present, via the display, a menu allowing selection from multiple types of transactions, the multiple types of transactions comprising: a financial transaction and a healthcare eligibility transaction;

present, via the display, a first option associated with the financial transaction and a second option associated with the healthcare eligibility transaction, wherein the first option and second option are presented simultaneously;

receive a first selection of the healthcare eligibility transaction from the multiple types of transactions presented as part of the menu;

receive the healthcare subscriber identifier associated with a patient via the presentation instrument reader;

transmit a first message comprising the healthcare subscriber identifier via a settlement network to a host system initiating the healthcare eligibility transaction;

receive, in response to the first message, via the settlement network from the host system, an accepted eligibility receipt that indicates a co-pay amount corresponding to a healthcare service;

receive a second selection of the financial transaction from the multiple types of transactions presented as part of the menu;

receive the financial account identifier via the presentation instrument reader;

transmit a second message comprising the financial account identifier via the settlement network to the host system initiating a financial transaction; and

a printer that prints a healthcare eligibility receipt and a financial transaction receipt.

2. The point-of-care device of claim 1 , the point-of-care device further comprising:

a magnetic-stripe reader configured to read a magnetic stripe present on a transaction instrument, wherein the magnetic-stripe reader is the presentation instrument reader and the processor-readable instructions that, when executed, cause the one or more processors to receive the healthcare subscriber identifier associated with the patient via the presentation instrument reader comprise processor-readable instructions which, when executed, cause the one or more processors to:

receive, via the magnetic-stripe reader, the identifier associated with the patient from the magnetic stripe of the transaction instrument.

3. The point-of-care device of claim 2 , wherein:

the magnetic-stripe reader is configured to obtain the healthcare subscriber identifier associated with the patient from a third track of the magnetic stripe of the transaction instrument; and

the first track and second track of the magnetic stripe of the transaction instrument are associated with financial transaction information that comprises the financial account identifier.

4. The point-of-care device of claim 1 , wherein the processor-readable instructions that, when executed, cause the one or more processors to transmit the message to the host system initiating the healthcare eligibility transaction comprise processor-readable instructions which, when executed, cause the one or more processors to:

transmit the message to the host system via a credit card processing network, wherein the credit card processing network is the settlement network.

5. The point-of-care device of claim 1 , wherein the processor-readable instructions, when executed, further cause the one or more processors to:

assign a first message type to the message initiating the healthcare eligibility transaction; and

assign a second message type to the financial transaction, wherein the first message type and the second message type are different and are used by a remote computer system to determine a type of transaction being conducted.

6. The point-of-care device of claim 1 , wherein the accepted eligibility receipt further indicates a primary care physician of the patient.

7. A method for conducting a health care transaction, the method comprising:

presenting, by a point-of-care device, a menu allowing selection from multiple types of transactions, the multiple types of transactions comprising: a financial transaction and a healthcare eligibility transaction, wherein presentation of the multiple types of transactions occurs simultaneously and the point-of-care device comprises a presentation instrument reader configured to read a healthcare subscriber identifier and a financial account identifier from a presentation instrument;

presenting, by a point-of-care device, a first option associated with the financial transaction and a second option associated with the healthcare eligibility transaction, wherein the first option and second option are presented simultaneously;

receiving, by the point-of-care device, a selection of the healthcare eligibility transaction from the multiple types of transactions;

receiving, by the point-of-care device via the presentation instrument reader, the healthcare subscriber identifier associated with a patient;

transmitting, by the point-of-care device, via a settlement network, a first message to a host system that comprises the healthcare subscriber identifier initiating the healthcare eligibility transaction;

receiving, by the point-of-care device, via the settlement network, in response to the first message, an accepted eligibility receipt that indicates a co-pay amount corresponding to a healthcare service;

receiving, by the point-of-care device, a second selection of the financial transaction from the multiple types of transactions;

receiving, by the point-of-care device, the financial account identifier via the presentation instrument reader;

transmitting, by the point-of-care device, a second message comprising the financial account identifier via the settlement network to the host system initiating a financial transaction; and

print with a printer a healthcare eligibility receipt and a financial transaction receipt.

8. The method for conducting the health care transaction of claim 7 , wherein receiving the identifier associated with the patient via the presentation reader comprises:

receiving, via a magnetic-stripe reader of the point-of-care device, the healthcare subscriber identifier associated with the patient from a magnetic stripe of a transaction instrument, wherein the presentation reader comprises the magnetic-stripe reader.

9. The method for conducting the health care transaction of claim 8 , wherein the healthcare subscriber identifier associated with the patient is received from a third track of the magnetic stripe of the transaction instrument, the first track and second track comprising financial account information which comprises the financial account identifier.

10. The method for conducting the health care transaction of claim 7 , wherein transmitting the message to the host system initiating the healthcare eligibility transaction comprises:

transmitting the message to the host system via a credit card processing network, wherein the credit card processing network is the settlement network.

11. The method for conducting the health care transaction of claim 7 , the method further comprising:

assigning, by the point-of-care device, a first message type to the message initiating the healthcare eligibility transaction; and

assign, by the point-of-care device, a second message type to the financial transaction, wherein the first message type and the second message type are different and are used by a remote computer system to determine a type of transaction being conducted.

12. The method for conducting the health care transaction of claim 7 , wherein the accepted eligibility receipt further indicates a primary care physician of the patient.

13. A non-transitory processor-readable medium comprising processor-readable instructions configured to cause one or more processors of a point-of-care device that comprises a printer, and a presentation instrument reader configured to read a healthcare subscriber identifier and a financial account identifier from a presentation instrument to:

cause presentation of a menu allowing selection from multiple types of transactions, the multiple types of transactions comprising: a financial transaction and a healthcare eligibility transaction;

cause presentation of a first option associated with the financial transaction and a second option associated with the healthcare eligibility transaction, wherein the first option and second option are presented simultaneously;

receive a selection of the healthcare eligibility transaction from the multiple types of transactions presented as part of the menu;

receive the healthcare subscriber identifier associated with a patient, the identifier being received via a presentation instrument reader device;

transmit a first message comprising the healthcare subscriber via a credit card processing network to a host system initiating the healthcare eligibility transaction;

receive, in response to the first message, via the credit card processing network, an accepted eligibility receipt that indicates a co-pay amount corresponding to a healthcare service;

receive a second selection of the financial transaction from the multiple types of transactions presented as part of the menu;

receive the financial account identifier via the presentation instrument reader;

transmit a second message comprising the financial account identifier via the settlement network to the host system initiating a financial transaction; and

print with the printer a healthcare eligibility receipt and a financial transaction receipt.

14. The non-transitory processor-readable medium of claim 13 , wherein the processor-readable instructions are further configured to cause the one or more processors to:

receive, via a magnetic-stripe reader, the healthcare subscriber identifier associated with the patient from a magnetic stripe of a transaction instrument, wherein the presentation instrument reader device is a magnetic-stripe reader.

15. The non-transitory processor-readable medium of claim 14 , wherein the processor-readable instructions configured to cause the one or more processors to receive the identifier comprise processor-readable instructions configured to cause the one or more processors to receive the identifier associated with the patient from a third track of the magnetic stripe of the transaction instrument;

wherein the first track and second track of the magnetic stripe of the transaction instrument are associated with financial transaction information.

Assignments (8)
TERMINATION AND RELEASE OF SECURITY INTEREST IN PATENT RIGHTS Recorded Aug 19, 2019
From: WELLS FARGO BANK, NATIONAL ASSOCIATION
To: FIRST DATA CORPORATION
Reel/Frame 050092/0958 →
TERMINATION AND RELEASE OF SECURITY INTEREST IN PATENT RIGHTS Recorded Aug 19, 2019
From: WELLS FARGO BANK, NATIONAL ASSOCIATION
To: FIRST DATA CORPORATION
Reel/Frame 050093/0062 →
TERMINATION AND RELEASE OF SECURITY INTEREST IN PATENT RIGHTS Recorded Aug 19, 2019
From: WELLS FARGO BANK, NATIONAL ASSOCIATION
To: FIRST DATA CORPORATION
Reel/Frame 050094/0455 →
RELEASE OF SECURITY INTEREST Recorded Jul 30, 2019
From: CREDIT SUISSE AG, CAYMAN ISLANDS BRANCH
To: FIRST DATA CORPORATION
Reel/Frame 049898/0402 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jun 19, 2015
From: LUTZEN, RENEE ELAHI; NAUMAN, GEORGE; WEIS, DAVID G.; KENNEDY, BEVERLY; BARTLETT, ROBYN
To: FIRST DATA CORPORATION
Reel/Frame 035864/0817 →
SECURITY INTEREST Recorded Mar 24, 2015
From: FIRST DATA CORPORATION
To: WELLS FARGO BANK, NATIONAL ASSOCIATION, AS COLLATERAL AGENT
Reel/Frame 035245/0451 →
SECURITY INTEREST Recorded Mar 24, 2015
From: FIRST DATA CORPORATION
To: WELLS FARGO BANK, NATIONAL ASSOCIATION, AS COLLATERAL AGENT
Reel/Frame 035245/0649 →
SECURITY INTEREST Recorded Mar 11, 2015
From: FIRST DATA CORPORATION
To: CREDIT SUISSE AG, CAYMAN ISLANDS BRANCH
Reel/Frame 035136/0692 →
Continuity (8)
Continuation 11153218 · Jun 14, 2005
Continuation In Part 10846947 · May 13, 2004
Continuation In Part 10460741 · Jun 11, 2003
Continuation In Part 10675929 · Sep 29, 2003
Provisional Application 60515918 · Oct 29, 2003
Provisional Application 60388047 · Jun 11, 2002
Provisional Application 60417205 · Oct 8, 2002
Related Publication 20140316798A1 · Oct 23, 2014