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Roleigh H Martin

from Reno, NV
Age ~74
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Also known as:
Roleigh Living Martin, Raleigh H Martin, Henry Martin Roleigh
Phone and address:
8991 Red Baron Blvd, Reno, NV 89506
Related to:
Bradley T Martin, 61Carla Y Martin, 39Michele Martin, 63Trisha Martin, 55Lucas E Martin, 48
Connected to:
Abageal G Martin, 43Adina Martin, 53Adolfo N Martin, 47Afton M Martin, 68Aisa Martin, 42Alana Martin, 57Alaya N Martin, 28Alberto Martin, 61Aleeya A Martin, 31Alex R Martinborough, 44

Roleigh Martin Phones & Addresses

  • 8991 Red Baron Blvd, Reno, NV 89506
    • s
  • 506 Catlyn Ct, Delmar, NY 12054 (518) 621-7419
  • Colonie, NY
  • 9245 Garrison Way, Eden Prairie, MN 55347
  • Edina, MN
  • Bloomington, MN
  • Schenectady, NY
  • Washoe, NV

Work

Company: Unitedhealth group Mar 1989 Position: Database analyst

Skills

Databases • Business Analysis • Sdlc • Visio • Data Warehousing • Process Improvement • Microsoft Sql Server • Healthcare Information Technology • Requirements Analysis • Sql • Healthcare • Project Management • Hipaa • Software Documentation • Business Intelligence • Etl • T Sql • Data Analysis • Access • Software Development Life Cycle

Industries

Insurance

Resumes

Resumes

Roleigh Martin Photo 1

Database Analyst

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Location:
Reno, NV
Industry:
Insurance
Work:
Unitedhealth Group
Database Analyst
Skills:
Databases
Business Analysis
Sdlc
Visio
Data Warehousing
Process Improvement
Microsoft Sql Server
Healthcare Information Technology
Requirements Analysis
Sql
Healthcare
Project Management
Hipaa
Software Documentation
Business Intelligence
Etl
T Sql
Data Analysis
Access
Software Development Life Cycle

Publications

Us Patents

Health Care Payment Adjudication And Review System

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US Patent:
53595092, Oct 25, 1994
Filed:
Oct 31, 1991
Appl. No.:
7/786123
Inventors:
John P. Little - Minneapolis MN
R. Scott McMahon - Eden Prairie MN
Mark Gingrich - Downingtown PA
Roleigh H. Martin - Eden Prairie MN
Assignee:
United Healthcare Corporation - Minneapolis MN
International Classification:
G06F 1521
G06F 1542
US Classification:
364401
Abstract:
A computerized expert system reviews and adjudicates medical health care payment requests made by physicians to payers, such as insurers, for procedures performed and services and materials rendered to patients in the course of treatment. The system adjudicates a payment request to minimize fraud and mistakes and to determine whether to honor the request and if the request is honored, the dollar amount of the payment. The expert system reviews the payment request based on user-specified review criteria. Such criteria reflects contractual arrangements between payers, providers and patients, current, locally acceptable medical practices and patient and provider payment request patterns. To perform the review, the expert system obtains relevant prior payment requests as necessary according to the user's pre-determined review criteria; defines a master list of payable payment requests given current medical procedures, the predetermined parameters of the review and specific contractual arrangements between the payer, patient and health care provider; analyses the current payment request according to the relevant historical payment requests and the master payable list by applying user-defined interpretive rules to this information; and develops and reports payment decisions based on that analysis.
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Roleigh H Martin from Reno, NV, age ~74 Get Report