Julie K Skeen

US Patent:

20130144655, Jun 6, 2013

Filed:

Dec 2, 2011

Appl. No.:

13/309880

Inventors:

Kathleen Neben - Denver CO, US
Julie Skeen - Downers Grove IL, US
Scott Johnson - Weaton IL, US

Assignee:

The TriZetto Group - Greenwood Village CO

International Classification:

G06Q 30/02
G06Q 40/08

US Classification:

705 4, 705 11

Abstract:

A compliance process provides the ability to identify members that have completed a required activity for a Health Incentive Program (HIP) by comparing standard data such as claims, pharmacy, laboratory, biometric, health risk assessment and other pertinent internal and external data (hereafter “source data”) against established compliance criteria for that type of data for the specific HIP. If the member meets all compliance criteria within the designated timeframe, the member's achievement is recorded, resulting in the appropriate reward being granted as defined by the HIP. The compliance process solution provides an automated way for a payer to evaluate internal and/or external data including claims, pharmacy and/or biometric data to identify instances of a member completing required activities.

US Patent:

20140039918, Feb 6, 2014

Filed:

Oct 9, 2013

Appl. No.:

14/049874

Inventors:

Julie Skeen - Downers Grove IL, US
Scott Johnson - Wheaton IL, US

Assignee:

TriZetto Corporation - Denver CO

International Classification:

G06Q 30/00
G06Q 50/22
G06Q 30/02

US Classification:

705 2

Abstract:

A compliance process provides the ability to identify members that have completed a required activity for a Health Incentive Program (HIP) by comparing standard data such as claims, pharmacy, laboratory, biometric, health risk assessment and other pertinent internal and external data (hereafter “source data”) against established compliance criteria for that type of data for the specific HIP. If the member meets all compliance criteria within the designated timeframe, the member's achievement is recorded, resulting in the appropriate reward being granted as defined by the HIP. The compliance process solution provides an automated way for a payer to evaluate internal and/or external data including claims, pharmacy and/or biometric data to identify instances of a member completing required activities.

US Patent:

20140039919, Feb 6, 2014

Filed:

Oct 9, 2013

Appl. No.:

14/050333

Inventors:

Julie Skeen - Downers Grove IL, US
Scott Johnson - Wheaton IL, US

Assignee:

TriZetto Corporation - Denver CO

International Classification:

G06Q 50/22
G06Q 30/02

US Classification:

705 2

Abstract:

A compliance process provides the ability to identify members that have completed a required activity for a Health Incentive Program (HIP) by comparing standard data such as claims, pharmacy, laboratory, biometric, health risk assessment and other pertinent internal and external data (hereafter “source data”) against established compliance criteria for that type of data for the specific HIP. If the member meets all compliance criteria within the designated timeframe, the member's achievement is recorded, resulting in the appropriate reward being granted as defined by the HIP. The compliance process solution provides an automated way for a payer to evaluate internal and/or external data including claims, pharmacy and/or biometric data to identify instances of a member completing required activities.