Wayne Addison Provost
Dentist in Salt Lake City, UT

6343271, Jan 29, 2002

Jul 17, 1998

09/118668

Brian E. Peterson - Salt Lake City UT
Vaughn C. Cecil - Crossville TN
Wayne A. Provost - Salt Lake City UT

P5 e.Health Services, Inc. - Salt Lake City UT

G06F 1760

705 4, 705 2

A claims processing system for electronically reviewing and adjudicating medical insurance claims. The claims processing systems include a benefits system, an automated adjudication system, a payment system, and a payment tracking system. The benefits system allows patients and health care providers to access patient and benefits information on-line. Using the automated adjudication system, health care providers may electronically prepare and submit claims for payment. Before a claim is submitted, a claims precheck process is used to determine whether the claim may be automatically adjudicated or instead must be manually adjudicated. If manual adjudication is indicated, the health care provider may the claim in an effort to achieve automated adjudication prior to claim submission. The claims processing system performs automatic adjudication on submitted claims or forwards the claims to a shop for manual adjudication. The payment system initiates payment to the health care provider using electronic funds transfer.

6341265, Jan 22, 2002

Dec 3, 1998

09/204886

Wayne A. Provost - Salt Lake City UT
Vaughn C. Cecil - Crossville TN
Brian E. Peterson - Salt Lake City UT

P5 e.Health Services, Inc. - Salt Lake City UT

G06F 1760

705 4, 705 2

Methods and systems for interactively creating and submitting insurance claims and determining whether the submitted claims are in condition for payment by an insurer. A medical technician operating a client computer establishes communication with a remote server. The remote server transmits a claim form to the client computer for display to the medical technician. Using the claim form, the technician enters patient identification information, which is transmitted to the server to determine whether the patient is a beneficiary of an approved insurance plan. If the patient is a beneficiary, the technician can prepare an insurance claim using the claim form displayed by the client computer. The technician enters a diagnosis code and a treatment code representing the diagnosis and treatment of the patient. The diagnosis and treatment codes are transmitted to the remote server, which processes the codes to determine whether the claim corresponds to health care services that are approved for payment. If the insurance claim is not in condition for payment, the medical technician is notified.

7072842, Jul 4, 2006

Jan 8, 2001

09/756077

Wayne A. Provost - Salt Lake City UT, US
Brian E. Peterson - Salt Lake City UT, US

P5, Inc. - Salt Lake City UT

G06F 19/00, G06Q 10/00, G06Q 40/00

705 4, 705 2, 705 35

Methods and systems for promptly paying health care providers for rendered health care services. A medical technician operating a client computer establishes communication with a remote server. Using a claim form, the technician enters patient, insurance, and treatment information which is transmitted to the server to determine whether the claim is eligible for advance payment. If the claim is eligible, the server transmits claim information to an appropriate carrier for claim processing. The remote server also transmits claim information to a payment entity which requests from a financial entity that funds be credited to an operational account and a reserve account. The funds of the operational account are immediately accessible to the health care provider. The funds of the reserve account are debited for expenses. When the carrier finally processes the claim, any payment for the claim is deposited into the reserve account.

7194416, Mar 20, 2007

Nov 28, 2000

09/724097

Wayne A. Provost - Salt Lake City UT, US
Vaughn C. Cecil - Crossville TN, US
Brian E. Peterson - Salt Lake City UT, US

P5, Inc. - Salt Lake City UT

G06Q 40/00, G06Q 99/00

705 4, 7071041

Methods and systems for interactively creating and submitting insurance claims and determining whether the submitted claims are in condition for payment by an insurer. A medical technician operating a client computer establishes communication with a remote server. The remote server transmits a claim form to the client computer for display to the medical technician. Using the claim form, the technician enters patient identification information, which is transmitted to the server to determine whether the patient is a beneficiary of an approved insurance plan. If the patient is a beneficiary, the technician can prepare an insurance claim using the claim form displayed by the client computer. The technician enters a diagnosis code and a treatment code representing the diagnosis and treatment of the patient. The diagnosis and treatment codes are transmitted to the remote server, which processes the codes to determine whether the claim corresponds to health care services that are approved for payment. If the insurance claim is not in condition for payment, the medical technician is notified.

7962350, Jun 14, 2011

Apr 18, 2005

11/108221

Wayne A. Provost - Salt Lake City UT, US
Brian E. Peterson - Salt Lake City UT, US

PPS Data, LLC - Salt Lake City UT

G06Q 10/00

705 4, 705 2, 705 3, 705 35

Methods and systems for promptly paying health care providers for rendered health care services. A medical technician operating a client computer establishes communication with a remote server. Using a claim form, the technician enters patient, insurance, and treatment information which is transmitted to the server to determine whether the claim is eligible for advance payment. If the claim is eligible, the server transmits claim information to an appropriate carrier for claim processing. The remote server also transmits claim information to a payment entity which requests from a financial entity that funds be credited to an operational account and a reserve account. The funds of the operational account are immediately accessible to the health care provider. The funds of the reserve account are debited for expenses. When the carrier finally processes the claim, any payment for the claim is deposited into the reserve account.

2002001, Feb 14, 2002

Sep 14, 2001

09/952568

Brian Peterson - Salt Lake City UT, US
John Kwant - Midvale UT, US
Vaughn Cecil - Crossville TN, US
Wayne Provost - Salt Lake City UT, US

G06F017/60

705/004000

Claims processing systems for electronically reviewing and adjudicating medical insurance claims. The claims processing systems include a benefits system, an automated adjudication system, a payment system, and a payment tracking system. The benefits system allows patients and health care providers to access patient and benefits information online. Health care providers may electronically receive partially completed claim forms containing patient and benefit information. Health care providers complete the claim forms with proposed health care treatment information and check whether the proposed claim qualifies for automated adjudication. The health care provider may amend unqualified claims in an effort to achieve automated adjudication prior to claim submission. The claims processing system performs automated adjudication on qualified claims. The payment system initiates payment to the health care provider using electronic funds transfer. The payment tracking system allows health care providers to monitor the payment status of a claim after submission.

2007003, Feb 8, 2007

Jul 19, 2005

11/185003

Wayne Provost - Salt Lake City UT, US
Ryan Trimble - Laguna Hills CA, US
Kevin Phillips - Salt Lake City UT, US

G06Q 40/00

705040000

An electronic practice management system for use in healthcare environments includes one or more components for converting tangible payments into standardized electronic payment documents, such as a HIPAA 835 document. For example, a healthcare provider receives a tangible check, and passes the check through a check scanner, which electronically reads the check into one or more data fields. The read data fields can then be correlated with standardized fields in the HIPAA 835 document, and can be further correlated to a patient's account stored locally. The created 835 payment document can then be used to update the patient's account directly in the practice management system. Additional implementations include converting other tangible patient payments, such as credit card and cash payments, to create an 835 for similar ends.

2007004, Feb 22, 2007

Aug 17, 2005

11/205863

Wayne Provost - Salt Lake City UT, US
Ryan Trimble - Laguna Hills CA, US
Kevin Phillips - Salt Lake City UT, US

G06Q 10/00, G06Q 40/00

705002000, 705004000

An electronic practice management system can be configured to send batch update requests to one or more payors (e.g., insurers) of one or more pending claims for healthcare service. In one implementation, a practice management system responds to a request for an update to one or more claims. The system then generates a batch update request message that has a batch identifier, and may be directed to one or more payors. Responses to the batch update message are then processed by the practice management system, and then provided as appropriate upon request to the healthcare provider. The healthcare provider can request the updates automatically from multiple payors in future batch requests based on a predetermined time interval. The system can also communicate with one or more banks to identify specific information regarding claim payment.

4468197, Aug 28, 1984

Apr 26, 1983

6/488676

Wayne Provost - Salt Lake City UT

A61B 124

433 30

An apparatus for detecting interproximal cavities and the like. A high intensity light from an incandescent lamp is transmitted through an optical fiber bundle and is projected onto a tooth. Light passing around or through said tooth is detected by a second optical fiber bundle and is transmitted to a viewer where it is projected through a lense system onto an opaque screen where an image of the tooth can be viewed and any defects therein can be detected.

4148418, Apr 10, 1979

Oct 7, 1976

5/730576

Gary B. Ewing - Salt Lake City UT
Wayne A. Provost - Salt Lake City UT

B67D 506

222183

A low cost dispenser that will accommodate cereal packages and the like, to allow the packages to be repeatedly sealed so as to prevent spillage and to retain the freshness of the contents, even after the packages have been opened to permit discharge of the contents.