UnitedHealth Group Incorporated
AUTOMATED ELECTRONIC MEDICAL RECORD (EMR) ANALYSIS VIA POINT OF CARE COMPUTING SYSTEMS

Abstract:

A care estimate module operating on a central computing entity receives a trigger indication (a) comprising patient identifying information and (b) that identifies a service; extracts the patient identifying information from the trigger indication; determines the service; identifies a potential provider that provides the service; and determines a care estimate for the potential provider to provide the service to the patient. The potential provider is identified based on eligibility information associated with the patient, a location associated with the patient, and an address associated with the potential provider. The care estimate is determined based on the eligibility information associated with the patient. The central computing entity generates a care estimate notification that identifies the potential provider and comprises the care estimate; and provides the care estimate notification such that a user computing entity receives the care estimate notification.