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System and method of administering, tracking and managing of claims processing

  • US 20020035488A1
  • Filed: 04/03/2001
  • Published: 03/21/2002
  • Est. Priority Date: 04/03/2000
  • Status: Active Grant
First Claim
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1. A computer implemented method of capturing initial insurance claim data comprising:

  • receiving an insurance claim;

    determining the type of user initiating the insurance claim;

    presenting the user with a first plurality of questions regarding an insurance policy under which the claim is being submitted depending on the type of user;

    determining if the claim is covered under a valid policy;

    retrieving profile information of the user that relates to the claim and pre-populating a subset of a second plurality of questions with the profile information;

    presenting the user with the second plurality of questions regarding the insurance claim in which a subset of questions subsequent to an initial subset of questions presented in the second plurality of questions vary depending on the user'"'"'s answers to the initial subset of questions, where both the initial and subsequent subset of question vary according to the type of user;

    storing the answers to the first and second plurality of questions in a data format that is useable by an insurance claim system.

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