IP Library Patent Application 15430142
Patent Application
App. No. 15/430,142

CASE-LEVEL REVIEW TOOL FOR PHYSICIANS

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Quick Facts
Patent No.
US None
App. No.
15/430,142
Abstract

A method of implementing a secure exchange portal system for independent medical review, and classification tools and case-level physician review tools for use in such reviews, are disclosed.

Claims (49)

1 - 40 . (canceled)

41 . A method of assisting physicians, comprising:

providing, by a physician search tool, one or more files comprising scanned medical records associated with a case under review, wherein at least one of the files comprises information classified as pre-defined information type;

receiving, from a physician user, a selection of one or more elements of classified information;

receiving, from a physician user, one or more search terms;

performing, by the physician search tool, at least one search based on the search terms; and

displaying, to the physician user, at least a portion of at least one of the elements of classified information based on the search.

42 . The method of claim 41 , wherein the files comprise two or more files associated with the same medical claim.

43 . The method of claim 41 , further comprising searching the content of the files.

44 . The method of claim 41 , further comprising creating a summary of a content of the at least one of the files.

45 . The method of claim 44 , wherein creating a summary comprises creating a list of information within the at least one of the files.

46 . The method of claim 41 , further comprising searching one or more of the files using a search mechanism.

47 . The method of claim 46 , wherein the search mechanism comprises fuzzy searching.

48 . The method of claim 46 , wherein the search mechanism comprises proximity searching.

49 . A case-level physician's review tool comprising a classification mechanism and one or more search mechanisms implemented in one or more computing systems, the case-level review tool configured to implement:

providing, by the case-level review tool, one or more files comprising scanned medical records associated with a case under review, wherein at least one of the files comprises information classified by the classification mechanism as a pre-defined information type;

receiving, from a physician user, a selection of one or more elements of classified information;

receiving, from a physician user, one or more search terms;

performing, by the search mechanism, at least one search based on the search terms; and

displaying, to the physician user, at least a portion of at least one of the elements of classified information based on the search.

50 . A non-transitory, computer-readable storage medium comprising program instructions stored thereon, wherein the program instructions, when executed on one or more computers, cause the one or more computers to implement a receiving system configured to:

providing, by a case-level review tool, one or more files comprising scanned medical records associated with a case under review, wherein at least one of the files comprises information classified as a pre-defined information type;

receiving, from a physician user, a selection of one or more elements of classified information;

receiving, from a physician user, one or more search terms;

performing, by the case-level review tool, at least one search based on the search terms; and

displaying, to the physician user, at least a portion of at least one of the elements of classified information based on the search.

51 . A method of assisting physicians using a physician's search tool based upon automatically classifying information using a secure exchange portal system for independent medical review, comprising:

receiving a data stream from at least a first source, wherein the data stream is associated with an independent medical review;

dividing the received data stream into a plurality of chunks;

classifying data within the plurality of chunks;

encrypting each of the chunks; and

creating metadata for each of the documents based at least in part on the classification.

52 . The method of claim 51 , wherein creating a summary comprises creating a list of information within at least one of the plurality of chunks.

53 . The method of claim 51 , further comprising creating a summary comprises creating a list of information within at least one of the plurality of chunks, wherein the list of information are arranged according to document type.

54 . The method of claim 51 , further comprising creating a summary comprises creating a list of information within at least one of the plurality of chunks, wherein the list of information are arranged according to a document type, and wherein the document type comprises a request for authorization, a utilization review determination, or a physician's progress report.

55 . The method of claim 51 , further comprising searching at least one of the plurality of chunks using a search mechanism.

56 . The method of claim 55 , wherein the search mechanism comprises fuzzy searching.

57 . The method of claim 55 , wherein the search mechanism comprises proximity searching.

58 . The method of claim 51 , wherein the first source comprises at least one paper document converted into an electronic file format.

59 . The method of claim 51 , further comprising converting the data stream into a searchable format using character recognition.

60 . The method of claim 51 , wherein the metadata comprises coded medical identifiers.

61 . The method of claim 51 , wherein the metadata comprises a component of an encryption key.

62 . The method of claim 51 , further comprising using a first set of metadata to restrict access to at least one of the documents to a first group and a second set of metadata to restrict access to at least one of the documents to a second group, wherein the first group is different from the second group.

63 . The method of claim 62 , wherein the first group of users accesses a specific portion of the at least one of the chunks using the first set of metadata.

64 . The method of claim 51 , further comprising administering claims for a worker's compensation claim using the plurality of chunks.

65 . The method of claim 51 , further comprising resolving claims for a worker's compensation claim using the plurality of chunks.

66 . The method of claim 51 , further comprising compressing the plurality of chunks.

67 . The method of claim 51 , further comprising providing a first access portal for a first group and a second access portal for a second group, wherein the first group and the second group are different.

68 . The method of claim 51 , wherein the metadata comprises a block size and an initialization vector.

Assignments (2)
NOTICE OF GRANT OF SECURITY INTEREST IN UNITED STATES PATENTS Recorded Jun 1, 2021
From: MAXIMUS, INC.
To: JPMORGAN CHASE BANK, N.A.
Reel/Frame 056447/0772 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 24, 2017
From: ERARD, MARK E.; BALASUBRAMANIAN, RAJA; BANKWALLA, VIRAF; MONETTE, MICHAEL C.; SABRI, MOHAMMAD A.; SAUNDERS, BRUCE E.; STOCKTON, THOMAS; VANIDERSTINE, RYAN
To: MAXIMUS, INC.
Reel/Frame 042130/0193 →