Automated processing of electronic medical data for insurance and disability determinations
First Claim
1. A computer-implemented method of assisting medical evidence collection for adjudication of a medical disability request, the method comprising:
- receiving into a storage at least one claim by a claimant of a medical condition;
automatically generating a plurality of medical evidence queries based on the at least one claim and based on a disability rules collection; and
receiving medical evidence data from a first electronic data storage into a second storage, said medical evidence data being responsive to at least one of the generated medical evidence queries.
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0 Petitions
Accused Products
Abstract
Methods and systems are described for automated processing of medical data for insurance and disability determinations. Based on medical conditions claimed by a claimant, medical evidence queries are automatically generated to provide instructions to medical providers for conducting physical exams and laboratory tests and for retrieving medical records. After medical evidence is collected according to the queries, the medical evidence and related rating codes and decisions are displayed to rating personnel in a user-friendly format to assist in making a rating decision.
27 Citations
21 Claims
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1. A computer-implemented method of assisting medical evidence collection for adjudication of a medical disability request, the method comprising:
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receiving into a storage at least one claim by a claimant of a medical condition;
automatically generating a plurality of medical evidence queries based on the at least one claim and based on a disability rules collection; and
receiving medical evidence data from a first electronic data storage into a second storage, said medical evidence data being responsive to at least one of the generated medical evidence queries. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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16. A computer-implemented method for facilitating adjudication of a medical disability request, the method comprising:
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receiving medical evidence data concerning a claimant; and
automatically generating a disability rating report based on the medical evidence data;
wherein the medical evidence data is obtained by a method comprising the following steps;
receiving into a first storage at least one claim by a claimant of a medical condition;
automatically generating a plurality of medical evidence queries based on the at least one claim and based on a disability rules collection; and
receiving into a second storage answers to the generated medical evidence queries from an electronic data storage, said answers corresponding to the medical evidence data. - View Dependent Claims (17, 18, 19)
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20. A computer system comprising a computer-readable medium having stored thereon computer-executable instructions configured to perform the method comprising:
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receiving from a claimant at least one claim of a medical condition;
generating a plurality of medical evidence queries based on the at least one claim and based on a disability rules collection; and
receiving medical evidence data corresponding to the generated medical evidence queries from an electronic data storage.
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21. A computer-readable medium having stored thereon computer-executable instructions configured to perform the method comprising:
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receiving from a claimant at least one claim of a medical condition;
generating a plurality of medical evidence queries based on the at least one claim and based on a disability rules collection; and
receiving medical evidence data corresponding to the generated medical evidence queries from an electronic data storage.
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Specification