System and method for identifying and condensing similar and/or analogous information requests and/or responses

Abstract

A system and method for identifying and condensing similar and/or analogous information requests and/or responses comprising a computer apparatus having an intelligent global rules engine to facilitate interaction with information requests and/or responses. The computer apparatus comprises machine-readable medium, wherein data is stored, wherein the data comprises a comparison of similar and/or analogous information requests and/or responses, wherein redundancies and/or analogies in information requests and/or responses have been identified and condensed to remove the redundancies and/or analogies thereby creating at least one global rule, rule group and/or single rule. The computer apparatus further comprises both a data processing module, wherein the data processing module comprises a lexical analyzer with contextual awareness, and an intelligent global rules engine, wherein the intelligent global rules engine comprises the at least one global rule, rule group and/or single rules.

What is claimed is: 
     
         1 . A system for identifying and condensing analogous information requests and responses comprising:
 a plurality of healthcare claim reimbursement submission systems connected to a public network;   a group of devices, each of said group of devices having private connections to other said group of devices on said public network comprising:   a first computing device having a first processor and a first data store, said first processor configured to process a healthcare claim reimbursement request and an electronic remittance advice and said first data store having installed a healthcare practice management system configured to submit a healthcare claim reimbursement request to said plurality of healthcare claim reimbursement submission systems via said public network and configured to receive said electronic remittance advice from said plurality of healthcare claim reimbursement submission systems;   a second computing device having a second processor and a second data store, said second data store having installed a global rules engine, said global rules engine configured to request and receive an individual payor rule from said plurality of healthcare claim reimbursement submission systems via said public network and configured to request information and receive responses from other computing devices on said public network, wherein said second processor identifies analogous payor rules and identifies analogous information responses to reduce in number said information requests to complete a healthcare claim for reimbursement;   a third computing device having a third processor, a third data store and a display, wherein said third computing device is securely connected to said first computing device over said public network via a first secure point-to-point connection, connected to said healthcare practice management system, and configured to receive information requests from said second computing device over said public network via a second secure point-to-point connection, having an interface to display said information requests, wherein said third computing device configured to enable a user to provide a response to said information requests and transmit said response to said second computing device via said second secure point-to-point connection.   
     
     
         2 . The system of  claim 1 , wherein said global rules engine installed on said second data store is configured to analyze and compare at least two individual payor rules from said plurality of healthcare claim reimbursement submission systems and identify commonalties among said at least two individual payor rules. 
     
     
         3 . The system of  claim 2 , wherein said global rules engine is further configured to eliminate redundant commonalties among said at least two individual payor rules and thereby configured to create a global rule on said second data store. 
     
     
         4 . The system of  claim 3 , wherein said global rules engine is further configured to associate differences between said at least two individual payor rules with said global rule. 
     
     
         5 . The system of  claim 4 , wherein said global rules engine is configured to reorganize said at least two individual payor rules stored on said second data store according to importance and frequency of use. 
     
     
         6 . The system of  claim 1 , wherein said first computing device is configured to request and receive a plurality of payor rules from a specific set of at least two healthcare claim reimbursement submission systems. 
     
     
         7 . The system of  claim 6 , wherein said global rules engine installed on said second data store is configured to analyze and compare all individual payor rules among said plurality of payor rules stored on said first data store on said first computing device and identify commonalties among said plurality of payor rules. 
     
     
         8 . The system of  claim 7 , wherein said global rules engine is further configured to eliminate redundant commonalties among said plurality of payor rules and thereby configured to create a global rule stored on said first data store. 
     
     
         9 . The system of  claim 8 , wherein said global rules engine is further configured to analyze compare said plurality of rules with said global rule to identify differences among said plurality of rules and said global rule. 
     
     
         10 . A system of  claim 9 , wherein said global rules engine on said second computing device is configured to request said processor on said first computing device to reorganize said at least two individual payor rules stored on said second data store according to importance and frequency of use via said private connection to said first computing device. 
     
     
         11 . A method for identifying and condensing analogous information requests and user responses during a setup and maintenance of a healthcare practice management system capable of directly submitting reimbursement claims to a payor via a computer apparatus connected to at least one payor system via a healthcare claim submission system whereby reimbursement information is related to at least one medical treatment of at least one individual, the method comprising the steps of:
 establishing a private connection among a first computing device having a first processor and a first data store and a second computing device having a second processor and a second data store having a global rules engine installed thereon, thereby creating a secure private network;   establishing a secure point-to-point connection to said secure private network from a third computing device having a third processor, a third data store, and a display via a public network;   said third computing device, via said secure point-to-point connection, establishing a medical practice management system on said first computing device configured for submission of healthcare claim reimbursements;   said first computing device, via said secure private network, requesting said second computing device to transmit a first information request having at least a general medical practice information set, a non-payor related information set, and a payor list from said third computing device via said secure point-to-point connection;   said third computing device, transmitting a first response to said first information request via said secure point-to-point connection to said second computing device;   storing said first response on said second data store; and   assembling a global rule thereon said second data store by identifying analogous payor rules corresponding with said payor list, identifying analogous information responses and eliminating any redundancies among analogous payor rules and analogous information responses to reduce the data required to complete said setup and management of said healthcare practice management system.   
     
     
         12 . The method of  claim 11 , further comprising the step of said global rules engine on said second computing device, identifying missing information required to complete information corresponding to said payor list, a set of corresponding payor rules stored on said second data store and said first response, thereby generating a missing information request. 
     
     
         13 . The method of  claim 12 , further comprising the step of said first computing device, requesting said second computing device to transmit said missing information request to said third computing device. 
     
     
         14 . The method of  claim 13 , further comprising the step of said third computing device, transmitting a second response to said third computing device in response to said missing information request. 
     
     
         15 . The method of  claim 14 , further comprising the step of said second computing device, storing said second response on said second data store. 
     
     
         16 . The method of  claim 15 , further comprising the step of said second computing device, updating said global rule thereon said second data store. 
     
     
         17 . The method of  claim 16 , further comprising the step of said global rules engine, analyzing said global rule thereon said second data store for analogous rules and information to further consolidate said payor rules stored within said global rule. 
     
     
         18 . The method of  claim 17 , further comprising the step of said third computing device, causing a change to a general medical practice information set, said non-payor related information set, and said payor list, thereby requiring said second computing device to update said global rule of at least one of a group stored on said first or second computing device on said private network. 
     
     
         19 . The method of  claim 17 , further comprising the step of said third computing device, assembling a healthcare claim for reimbursement via said secure point-to-point connection with said private network and said healthcare practice management system on said first computing device, wherein said first computing device communicates with said global rules engine on said second computing device to reduce information requests required to complete said healthcare claim for reimbursement. 
     
     
         20 . The method of  claim 19 , comprising the step of said first computing device, transmitting and receiving information over a secure network connection to a plurality of healthcare claim submission systems via said public network, said information comprising an electronic remittance advice and a healthcare claim reimbursement request.