Web-based claims processing method and system
First Claim
1. A method of processing insurance claims comprising:
- a) electronically gathering information comprising a first entity'"'"'s insurance claim;
b) connecting a front end first computer under the dominion of said first entity to a back end second computer under the dominion of a claims processing entity via the World Wide Web;
c) transmitting an insurance claim from said first computer to said second computer via the World Wide Web;
d) via said second computer, automatically processing said insurance claims; and
e) via said claims processing entity, presenting processed insurance claims information to an insurer entity subsuming the responsibilities of deciding whether to pay a claim and payment of a claim.
1 Assignment
0 Petitions
Accused Products
Abstract
A novel electronic claims coding, billing and processing method and system specially adapted for processing insurance-related claims obviates the need for prior art faxing, telephoning and mailing of insurance claim information from service providers, and for electronic systems, eliminates the need for specialized or proprietary software for service providers. Broadly, the present invention provides a method of coding, billing and processing insurance claims that at least includes: a) via a first entity (such as a service provider), electronically gathering information comprising an insurance claim; b) connecting a front end first computer under the dominion of the first entity to a back end second computer under the dominion of a claims processing entity via the World Wide Web; c) transmitting an insurance claim from the first computer to the second computer via the World Wide Web; d) via the second computer, automatically processing the insurance claims; and e) via the claims processing entity, presenting processed insurance claims information to an insurer entity subsuming the responsibilities of deciding whether to pay a claim and payment of a claim.
26 Citations
18 Claims
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1. A method of processing insurance claims comprising:
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a) electronically gathering information comprising a first entity'"'"'s insurance claim;
b) connecting a front end first computer under the dominion of said first entity to a back end second computer under the dominion of a claims processing entity via the World Wide Web;
c) transmitting an insurance claim from said first computer to said second computer via the World Wide Web;
d) via said second computer, automatically processing said insurance claims; and
e) via said claims processing entity, presenting processed insurance claims information to an insurer entity subsuming the responsibilities of deciding whether to pay a claim and payment of a claim. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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Specification