Systems and methods of automating consideration of low body mass risk

• US 10,468,139 B1
• Filed: 07/21/2015
• Issued: 11/05/2019
• Est. Priority Date: 12/28/2005
• Status: Active Grant

• Current Assignee: United Services Automobile Association
• Original Assignee: United Services Automobile Association
• Inventors: Goral, James E.
• Primary Examiner(s): Sereboff, Neal
• Application Number:
  US14/805,344
• Time in Patent Office: 1,568 Days
• Field of Search: None
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

Systems, methods, and computer-readable media automate determination of a risk category for low body mass index associated with issuance of an insurance policy. Embodiments include identifying an applicant having a body mass index within a predetermined range that qualifies for a first insurance rate category for low body mass index consideration or that requires medical director review for risk classification. Embodiments further include evaluating values for one or more characteristics of the applicant and determining whether the evaluated values qualify the applicant for a second insurance rate category for low body mass index consideration, where the second insurance rate category is more favorable than the first insurance rate category. The applicant'"'"'s insurance rate category can be updated upon determining that the applicant qualifies for the more favorable second insurance category.

Claims

1. A medical risk assessment system for body mass index, comprising:

a graphical user interface configured to receive height, weight, age, and gender data via one or more data entry elements; and

calculator circuitry, comprising;

a body mass index calculator configured to use the height, weight, age, and gender data as inputs to determine a body mass index value; and

a category determination sub-system configured to determine an initial category based on the body mass index value;

a comparator configured to compare the body mass index value to a stored range associated with a low body mass index and determine if the body mass index value is within the stored range;

a wherein a dedicated portion of the graphical user interface is configured such that the dedicated portion of the graphical user interface is only active when the body mass index value is within the stored range and is inactive when the body mass index value is outside of the stored range, wherein the dedicated portion of the graphical user interface, when active, comprises one or more supplemental data entry elements that are accessible to receive supplemental data relating to age greater than or less than a threshold, presence or absence of weight stability over a predetermined time period, presence or absence of chronic mental or physical impairments, presence or absence of normal aspartate aminotransferase and alanine transaminase values, presence or absence of total cholesterol greater than a threshold value, and presence or absence of normal serum albumin,

wherein the category determination sub-system is configured to determine an updated category relative to the initial category based on a perfect match between settings of a perfect match table calculator and the received supplemental data.

2. The system of claim 1, wherein the graphical user interface controller is configured to activate display of the supplemental data entry elements in the dedicated portion only when the body mass index value is within the stored range.

3. The system of claim 1, wherein the graphical user interface is configured to activate pulldown menus of the supplemental data entry elements in the dedicated portion only when the body mass index value is within the stored range.

4. The system of claim 1, wherein the graphical user interface is configured to display the body mass index value.

5. The system of claim 1, wherein the graphical user interface is configured to display the updated category[ ].

6. The system of claim 5, wherein the graphical user interface is configured to display the updated category when the updated category is different than the initial category.

7. The system of claim 1, comprising communication circuitry to communicate the updated category over a network.

8. The system of claim 1, wherein the stored range comprises body mass index values of 15.6 to 18.4.

9. The system of claim 1, wherein the supplemental data entry elements are configured to receive supplemental data inputs selected from three or fewer categories.

10. The system of claim 1, wherein a subset of the supplemental data elements are configured to receive an input indicative of a yes or no value.

11. The system of claim 1, wherein a subset of the supplemental data elements are configured to receive an input indicative of yes, no, or an unknown value.

12. The system of claim 11, wherein any entry of the unknown value for any supplemental data element of the subset results in a determination of no change to the initial category.

13. The system of claim 1, wherein the perfect match table settings comprise age less than the threshold, the presence of weight stability over the predetermined time period, the absence of chronic mental or physical impairments, the presence of normal aspartate aminotransferase and alanine transaminase values, the presence of total cholesterol greater than a threshold value, and the presence of normal serum albumin.