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 Cardless method for reducing fraud in healthcare programs

Details
Inventors: Wood, Richard Glee; White, Jr., Wesley Jack;
Assignee:
Primary Examiner: Thomas; Joseph
Assistant Examiner: Gilligan; Christopher L
Attorney, Agent or Firm: Buskop Law Group, P.C. Buskop; Wendy

The method for reducing fraud in a healthcare program by registering a service provider with a healthcare provider and issuing a service provider identification code entails registering at least one service of the service provider with the private healthcare provider and identifying a claim code for each registered service; issuing a code based on data from a biometric reading, a keypad entry with a PIN code, or an electronic signature pad entry to an individual related to a benefits program of the healthcare provider; using the code to determine if the individual is eligible for the healthcare program and performing three transmissions of information to reduce fraud in the systems.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Before explaining the present embodiments in detail, it is to be understood that the embodiments are not limited to the particular embodiments herein and it can be practiced or carried out in various ways.
The embodied methods are for accelerating the provision of funds to a service or goods provider from a healthcare provider, such as an insurance company or self-funded healthcare provider.
The embodied methods provide a cardless method for reducing fraud in healthcare programs.
The methods involve registering a service or goods provider with a private healthcare provider and issuing a service provider identification code to that provider.
Services and goods of the provider can be registered with a healthcare provider and claim codes correspond with each registered service.
These methods involve using a form of identification, such as fingerprints or retinal reading for individual eligible for a healthcare program.
In addition to biometrics reading, data from keypad entry with a personal identification code or PIN or an electronic signature pad entry can be used.
The methods involve a first identification check and at least three transmissions between the service provider to the private healthcare provider about proposed goods and services, information about the individual, and information about payment for the provider.
These methods relate to the provision of a private sector benefit using a fingerprint reader, a retina reader, or similar biometric device.
These methods advantageously reduce fraud occurring in medical benefits by providing a safe method of pre-authorizing users for benefits prior to rendering the benefit.
These methods advantageously prevent ineligible users from using services for which they are not authorized.
These methods safeguard private healthcare entities from users attempting to apply for the same service more than once, in other words "double dipping".
The first step of the method involves registering a service provider with a healthcare provider and issuing a service provider identification code



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