20240054463. SYSTEMS AND METHODS FOR A HEALTH CARE E-COMMERCE MARKETPLACE simplified abstract (Cambia Health Solutions, Inc.)

SYSTEMS AND METHODS FOR A HEALTH CARE E-COMMERCE MARKETPLACE

Organization Name

Cambia Health Solutions, Inc.

Inventor(s)

Marcee Chmait of North Hills CA (US)

Christopher Coogan of Portland OR (US)

Elizabeth Anne Berselli of Portland OR (US)

Will Cooper of Berkeley CA (US)

SYSTEMS AND METHODS FOR A HEALTH CARE E-COMMERCE MARKETPLACE - A simplified explanation of the abstract

This abstract first appeared for US patent application 20240054463 titled 'SYSTEMS AND METHODS FOR A HEALTH CARE E-COMMERCE MARKETPLACE

Simplified Explanation

The abstract describes systems and methods for an e-commerce health care marketplace, where health care claims are automatically generated and sent to consumers and health insurance administrators in different formats.

• An order fulfillment notification is received indicating that a health care service has been provided.
• A health care claim is automatically generated in a user-friendly format and sent to the consumer.
• The health care claim is also automatically generated in a format compliant with official standards and sent to a health insurance administrator.

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1. 1. 1. Potential Applications

• Health care e-commerce platforms
• Health insurance claim processing systems

1. 1. 1. Problems Solved

• Streamlining health care claim generation and submission
• Ensuring compliance with official standards for health care claims

1. 1. 1. Benefits

• Simplifying the process for consumers to receive and understand health care claims
• Improving efficiency in health insurance claim processing
• Reducing errors in health care claim submissions

Original Abstract Submitted

systems and methods for an e-commerce health care marketplace are provided. in at least one embodiment, an order fulfillment notification indicating that a particular health care service has been provided by a health care provider is received, a health care claim in a first format based on the particular health care service is automatically generated, and the health care claim in the first format is automatically sent to a consumer computing device, wherein the first format is a user-friendly format. additionally, the health care claim is automatically generated in a second format, wherein the second format is different from the first format, and wherein the second format is a format compliant with official standards, and the health care claim is automatically sent in the second format to a health insurance administrator computing device.