Insurance Verification, Eligibility, Referral and Precertification System and Method
First Claim
1. A method for providing insurance-related services, the method comprising:
- receiving identification data associated with a proposed insured party;
storing the identification data in a database;
connecting via an internet connection to a source capable of verifying at least a status of the proposed insured party;
retrieving information related to the proposed insured party over the internet connection;
storing the retrieved information in the database; and
converting the retrieved information related to the proposed insured party to enable integration of the retrieved information for benefit and billing of services provided to the proposed insured party.
0 Assignments
0 Petitions
Accused Products
Abstract
A system and method for providing insurance-related services includes receiving identification data associated with a proposed insured party; storing the identification data in a database; connecting via an internet connection to a source capable of verifying at least a status of the proposed insured party; retrieving information related to the proposed insured party over the internet connection; storing the retrieved information in the database; and converting the information related to the proposed insured party to enable integration of the retrieved information for benefit and billing of services provided to the proposed insured party. The verifying can be via a verification module and benefit module coupled to a processor configured to receive data elements for insurance-related transactions.
49 Citations
11 Claims
-
1. A method for providing insurance-related services, the method comprising:
-
receiving identification data associated with a proposed insured party; storing the identification data in a database; connecting via an internet connection to a source capable of verifying at least a status of the proposed insured party; retrieving information related to the proposed insured party over the internet connection; storing the retrieved information in the database; and converting the retrieved information related to the proposed insured party to enable integration of the retrieved information for benefit and billing of services provided to the proposed insured party. - View Dependent Claims (2, 3, 4, 5, 6, 7)
-
-
8. A computer program product comprising:
-
a signal bearing medium bearing; one or more instructions for receiving identification data associated with a proposed insured party; one or more instructions for storing the identification data in a database; one or more instructions for connecting via an internet connection to a source capable of verifying at least a status of the proposed insured party; and one or more instructions retrieving information related to the proposed insured party over the internet connection; one or more instructions for storing the retrieved information in the database; and one or more instructions for converting the retrieved information related to the proposed insured party to enable integration of the retrieved information for benefit and billing of services provided to the proposed insured party - View Dependent Claims (9, 10)
-
-
11. An insurance verification system for verifying one or more insured parties in connection with an insurance-related transaction, the insurance verification system comprising:
-
a processor; a memory coupled to the processor; a database accessible by the processor, the database configured to store one or more data elements in connection with the insurance-related transaction from or on behalf of an insured party; a verification module coupled to the processor, the verification module configured to verify an identification of the insured party; and a benefit module coupled to the processor, the benefit module configured to determine eligibility for one or more benefits provided by an insurance entity related to the insurance-related transaction; an approval module coupled to the processor, the approval module configured to perform one or more of a referral verification, a pre-authorization of services and/or a pre-certification.
-
Specification