Software for emergency medical services

1. A method for processing emergency medical services (EMS) requests, the method comprising:

storing information for a patient in interoperable EMS data format wherein the patient information is configured to be sent to, or received from, unrelated applications for additional processing, the unrelated application comprising clearinghouses and payors, the EMS data stored in a network connected database, and, comprising the patient's name, one or more medical conditions, at least one address, at least one insurer, and services data associated with each of one or more instances of EMS provided to the patient;

providing, by at least one data processor, an indication of eligibility verification for the patient, the indication of eligibility based on at least one entry in the patient's EMS data;

automatically assigning, by at least one data processor, at least one service unit to fulfill the EMS request, the assignment being transmitted to computing devices associated with the one or more service units via an electronic communication, the assignment based on capability and geo-location data associated with one or more service units, the geo-location data being obtained automatically from computing devices associated with the one or more service units;

obtaining, by at least one data processor, an electronic status communication from the one or more service units assigned to provide EMS service;

coding, by at least one data processor, a claim for the EMS dispatched to the patient, the claim being based at least in part on the status communication received from the one or more service units assigned to fulfill the EMS request, the status communication comprising at least one of medical conditions treated by the EMS service unit, and EMS data;

selecting, by at least one data processor, a forecasting model from a number of forecasting models to forecast payment for the coded claim, the model selection made by sequentially attempting models and finding a model with appropriate accuracy that meets a pre-defined threshold of claims;

and

generating, by at least one data processor, a forecast for payment of the coded claim based on the selected forecasting model.

2. The method of claim 1 , wherein the one or more of the following export items are calculated by applying the coded claim to the selected forecasting model: average net charges, total payment as a percent of actual charges, total adjustments/write-offs as a percentage of actual charges, primary payment as a percentage of actual charges, other non-primary payment as a percentage of actual charges, average days to pay for a primary payer, and average days to pay for nonprimary or other payer.

3. The method of claim 2 , wherein the calculated export items are stored in the patent's EMS data.

4. The method of claim 3 , wherein the generated forecast is further comprised of a theoretical forecast obtained by forecasting the coded claim with the selected forecasting model, and expected payment amount, which is based on calculated export items that are stored in the patient's EMS data.

5. The method of claim 4 , further comprising comparing, by at least one data processor, the output of each of the two or more forecasting models with an actual result of a payment for the EMS to the patient.

6. The method of claim 5 , wherein the comparison by the forecasting module is executed at a prescribed frequency.

7. The method of claim 1 , wherein the geolocation data is provided by an external geolocation service.

8. A non-transitory computer program product storing instructions that, when executed by at least one programmable processor, cause the at least one programmable processor to perform operations comprising:

store information for a patient in interoperable EMS data format wherein the patient information is configured to be sent to, or received from, unrelated applications for additional processing, the unrelated application comprising clearinghouses and payors, the EMS data stored in a network connected database, and, comprising the patient's name, one or more medical conditions, at least one address, at least one insurer, and services data associated with each of one or more instances of EMS provided to the patient;

provide an indication of eligibility verification for the patient, the indication of eligibility based on at least one entry in the patient's EMS data;

automatically assign at least one service unit to fulfill the EMS request, the assignment being transmitted to computing devices associated with the one or more service units via an electronic communication, the assignment based on capability and geo-location data associated with one or more service units, the geo-location data being obtained automatically from computing devices associated with the one or more service units;

obtain an electronic status communication from the one or more service units assigned to provide EMS service;

code a claim for the EMS dispatched to the patient, the claim being based at least in part on the status communication received from the one or more service units assigned to fulfill the EMS request, the status communication comprising at least one of medical conditions treated by the EMS service unit, and EMS data;

select a forecasting model from a number of forecasting models to forecast payment for the coded claim, the model selection made by sequentially attempting models and finding a model with appropriate accuracy that meets a pre-defined threshold of claims; and

generate a forecast for payment of the coded claim based on the selected forecasting model.

9. A system comprising:

at least one programmable processor; and

a machine-readable medium storing instructions that, when executed by the at least one processor, cause the at least one programmable processor to perform operations comprising:

storing information for a patient in interoperable EMS data format wherein the patient information is configured to be sent to, or received from, unrelated applications for additional processing, the unrelated application comprising clearinghouses and payors, the EMS data stored in a network connected database, and, comprising the patient's name, one or more medical conditions, at least one address, at least one insurer, and services data associated with each of one or more instances of EMS provided to the patient;

providing an indication of eligibility verification for the patient, the indication of eligibility based on at least one entry in the patient's EMS data;

automatically assigning at least one service unit to fulfill the EMS request, the assignment being transmitted to computing devices associated with the one or more service units via an electronic communication, the assignment based on capability and geo-location data associated with one or more service units, the geo-location data being obtained automatically from computing devices associated with the one or more service units;

obtaining an electronic status communication from the one or more service units assigned to provide EMS service;

coding a claim for the EMS dispatched to the patient, the claim being based at least in part on the status communication received from the one or more service units assigned to fulfill the EMS request, the status communication comprising at least one of medical conditions treated by the EMS service unit, and EMS data;

selecting a forecasting model from a number of forecasting models to forecast payment for the coded claim, the model selection made by sequentially attempting models and finding a model with appropriate accuracy that meets a pre-defined threshold of claims; and

generating a forecast for payment of the coded claim based on the selected forecasting model.