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A method for generating a personal/ individual health record of a patient enrolled in a health plan of a payor using a personal health record system server and a personal health record system server
A method for generating a personal/ individual health record of a patient enrolled in a health plan of a payor using a personal health record system server and a personal health record system server
A personal health record ("PHR") system server for use with a patient enrolled in a health plan of a payor is disclosed. The health plan covers at least a portion of the cost of the patient when a patient undergoes encounters with a plurality of health care providers regarding a health related issue of the patient. Under the plan the health care providers request payment for at least a portion of the cost for the encounters from the payor, where the plan requires the health care providers to submit health related information of the patient to the payor to support the cost of encounters with the patient. The PHR system server comprises: a memory for storing instructions and data associated with a personal/individual health record of the patient; and a processor configured to execute the instructions, wherein the instructions cause the processor to perform the steps comprising: (a) transferring payor claims data of the patient to the ("PHR") system server; (b) analyzing the payor claims data to determine which portion of the payor claims data concerning the patient is encounter data comprising one or more of: a diagnosis of the patient; a treatment of the patient; a medication of the patient; a procedure of the patient; a history of office visits of the patient with one or more of the health care providers; or duration of office visits of the patient; (c) populating the personal/individual health record of the patient by storing one or more entries into the personal/individual health record of the patient based on the encounter data, where population of at least a portion of the entries in the personal/individual health record of the patient is encounter data extracted from the payor claims data; (d) organizing the personal/individual health record by associating together one or more entries in the personal/individual health record of the patient that are related; and (e) providing a web-based portal accessible by the patient to view the personal/individual health record of the patient.
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