US 12,488,323 B2
Systems and methods for a health care e-commerce marketplace
Marcee Chmait, North Hills, CA (US); Christopher Coogan, Portland, OR (US); Elizabeth Anne Berselli, Portland, OR (US); and Will Cooper, Berkeley, CA (US)
Assigned to CAMBIA HEALTH SOLUTIONS, INC., Portland, OR (US)
Filed by Cambia Health Solutions, Inc., Portland, OR (US)
Filed on Aug. 16, 2023, as Appl. No. 18/451,024.
Application 16/890,956 is a division of application No. 14/845,170, filed on Sep. 3, 2015, granted, now 10,706,963, issued on Jul. 7, 2020.
Application 18/451,024 is a continuation of application No. 16/890,956, filed on Jun. 2, 2020, granted, now 11,763,277.
Claims priority of provisional application 62/048,157, filed on Sep. 9, 2014.
Prior Publication US 2024/0054463 A1, Feb. 15, 2024
This patent is subject to a terminal disclaimer.
Int. Cl. G06Q 20/10 (2012.01); G06Q 10/10 (2023.01); G06Q 20/14 (2012.01); G06Q 30/0601 (2023.01); G06Q 40/08 (2012.01); G16H 40/20 (2018.01)
CPC G06Q 20/102 (2013.01) [G06Q 10/10 (2013.01); G06Q 20/14 (2013.01); G06Q 30/0633 (2013.01); G06Q 40/08 (2013.01); G16H 40/20 (2018.01); Y02A 90/10 (2018.01)] 17 Claims
OG exemplary drawing
 
1. A method for a computing system, comprising:
receiving an order fulfillment notification indicating that a particular health care service has been provided by a health care provider;
receiving, from the health care provider, a fulfillment notification indicating a user received the particular health care service from the health care provider, wherein the fulfillment notification comprises a single order data structure;
responsive to receiving the fulfillment notification comprising the single order data structure, automatically generating two different data structures based on the single order data structure, the two different data structures including a health care claim in a first format and the health care claim in a second format based on the particular health care service;
automatically sending the health care claim in the first format to a consumer computing device, wherein the first format is a user-friendly format that is formatted for display to the user and includes a non-technical description of one or more Current Procedural Technology (CPT) codes in user-friendly language,
displaying the health care claim in the user-friendly format via the consumer computing device;
automatically sending the health care claim in the second format to a health insurance administrator computing device, wherein the second format is different from the first format, and wherein the second format is a format compliant with official standards; and
processing the health care claim in the second format via the health insurance administrator computing device, wherein the health insurance administrator computing device applies the health care claim in the second format against a deductible of a health insurance plan of the user.