AccumTech Receives Patent for Computer Database Design | national company

ANN ARBOR, Mich.–(BUSINESS WIRE)–March 16, 2022–

The U.S. Patent and Trademark Office granted a patent to AccumTech for a computer system and database design that processes and matches the names of misidentified health plan members with health provider claims. misidentified health care.

The Ann Arbor-based company helps health plans, pharmacy benefit managers (PBMs), and third-party administrators translate and integrate claims data between a variety of health care providers and providers. As a key service, AccumTech accounts for coinsurance, co-payments and deductibles for individual and family members enrolled in health plans.

Andrew Madonna, vice president of AccumTech, said, “Most automated claim problems don’t happen with dollar figures, numbers and math. Enrollment data, in particular the nuanced coding that differs from system to system, is the source of most of the problems in tracking benefit expenditures.

For example, Blue Cross Blue Shield of Michigan and a PBM may use different Member ID numbers or their records contain different derivations of the same name. AccumTech’s patented method quickly associates a member’s personal information – even if it varies from system to system – with corresponding records in another system so that costs and benefit totals can be updated and accurately counted.

“Our ClaimGen system and enrollment engine acts as a universal translator,” Madonna said. “This allows us to coordinate and communicate all data in each organization’s native computer ‘language’ and member identification scheme.”

Gary Gavin, Blue Cross Blue Shield of Michigan Vice President, Autos, National & Key Accounts, said, “After our partnership with AccumTech in 2018, our team has not had to implement any new time-consuming procedures or big programming changes that improve customer service. We quickly saw an improvement with the reconciliation of claims. Additionally, our members and healthcare partners are more satisfied with faster turnaround times for provider transitions with superior outcomes. »

Patent number 11,217,346 covers AccumTech’s computer system design and methods for integrating health plan member eligibility databases and payer claims with both systems using their implementations. native pages, their business logic and other processing specifications.

AccumTech was founded in 2014 as a spin-off from Part D Advisors, Inc. (Livonia, MI), the nation’s largest administrator of full-service retiree drug subsidies, where a process was developed to match claims drug reimbursement with misidentified registration data. AccumTech is certified by the American Institute of CPAs — System & Organization Controls and is rated as one of the best places to work by Crain’s Detroit Business. Visit www.accumtech.com.

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Alex Cooper, 248-398-2667/[email protected]

KEYWORD: UNITED STATES NORTH AMERICA MICHIGAN

INDUSTRY KEYWORD: TECHNOLOGY INSURANCE PROFESSIONAL SERVICES SOFTWARE HEALTH NETWORKS ELECTRONIC DESIGN AUTOMATION GENERAL HEALTH DATA MANAGEMENT

SOURCE: Accum Tech

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PUBLISHED: 03/16/2022 10:35 a.m. / DISK: 03/16/2022 10:36 a.m.

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Maria H. Underwood