SYSTEM AND METHOD FOR EFFICIENT CLAIM ASSIGNMENT
First Claim
1. A computer system comprising:
- a data storage device configured to receive and store policy information associated with an insurance policy, and a first data structure associating each of a plurality of program identifiers with a respective claim handling identifier;
a computer processor configured to execute program instructions and to retrieve the policy information from the data storage device;
a memory, coupled to the computer processor, configured to store program instructions for execution by the computer processor;
claim assignment logic comprising program instructions stored in the memory and executable by the computer processor to;
determine a program identifier based on the policy information;
determine a first claim handling identifier associated with the program identifier in the first data structure;
generate, if the first claim handling identifier comprises a first predetermined claim handling identifier, a record associating the policy information with the first claim handling identifier; and
if the first claim handling identifier comprises a second predetermined claim handling identifier, determine a second claim handling identifier based on the policy information and generate a record associating the policy information with the second claim handling identifier; and
a communication device, coupled to the computer processor, configured to transmit the record to a claim management system.
1 Assignment
0 Petitions
Accused Products
Abstract
A system includes a data storage device configured to receive and store policy information associated with an insurance policy, and a first data structure associating each of a plurality of program identifiers with a respective claim handling identifier, a computer processor configured to execute program instructions and retrieve the policy information from the data storage device, and a memory, coupled to the computer processor, configured to store program instructions for execution by the computer processor.
Also included is claim assignment logic comprising program instructions stored in the memory and executable by the computer processor to determine a program identifier based on the policy information and to determine a first claim handling identifier associated with the program identifier in the first data structure. If the first claim handling identifier is a first predetermined claim handling identifier, a record associating the policy information with the first claim handling identifier is generated. If the first claim handling identifier is a second predetermined claim handling identifier, a second claim handling identifier is determined based on the policy information, and a record associating the policy information with the second claim handling identifier is generated. A communication device is configured to transmit the record to a claim management system.
27 Citations
23 Claims
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1. A computer system comprising:
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a data storage device configured to receive and store policy information associated with an insurance policy, and a first data structure associating each of a plurality of program identifiers with a respective claim handling identifier; a computer processor configured to execute program instructions and to retrieve the policy information from the data storage device; a memory, coupled to the computer processor, configured to store program instructions for execution by the computer processor; claim assignment logic comprising program instructions stored in the memory and executable by the computer processor to; determine a program identifier based on the policy information; determine a first claim handling identifier associated with the program identifier in the first data structure; generate, if the first claim handling identifier comprises a first predetermined claim handling identifier, a record associating the policy information with the first claim handling identifier; and if the first claim handling identifier comprises a second predetermined claim handling identifier, determine a second claim handling identifier based on the policy information and generate a record associating the policy information with the second claim handling identifier; and a communication device, coupled to the computer processor, configured to transmit the record to a claim management system. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A computer-implemented method comprising:
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receiving policy information associated with an insurance policy; determining a program identifier based on the policy information; determining a first claim handling identifier based on the program identifier and on a first data structure associating each of a plurality of program identifiers with a respective claim handling identifier; if the first claim handling identifier comprises a first predetermined claim handling identifier, generating a record associating the policy information with the first claim handling identifier; if the first claim handling identifier comprises a second predetermined claim handling identifier, determining a second claim handling identifier based on the policy information and generating a record associating the policy information with the second claim handling identifier; and
transmitting the record to a claim management system. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20, 21, 22)
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23. A system comprising:
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a first system comprising; a data storage device configured to receive and store policy information associated with an insurance policy, and a first data structure associating each of a plurality of program identifiers with a respective claim handling identifier; a computer processor configured to execute program instructions and to retrieve the policy information from the data storage device; a memory, coupled to the computer processor, configured to store program instructions for execution by the computer processor; claim assignment logic comprising program instructions stored in the memory and executable by the computer processor to; determine a program identifier based on the policy information; determine a first claim handling identifier associated with the program identifier in the first data structure; generate, if the first claim handling identifier comprises a first predetermined claim handling identifier, a record associating the policy information with the first claim handling identifier; and if the first claim handling identifier comprises a second predetermined claim handling identifier, determine a second claim handling identifier based on the policy information and generate a record associating the policy information with the second claim handling identifier; and a communication device, coupled to the computer processor, configured to transmit the record to a claim management system; and the claim management system comprising; a second data storage device for receiving and storing the record associating the policy information with the second claim handling identifier; a second computer processor for executing program instructions; a second memory, coupled to the second computer processor, for storing program instructions for execution by the second computer processor; and claim management logic further comprising program instructions stored in the memory and executable by the computer processor to; receive a claim associated with the policy from a claimant; identify the claim handling identifier of the record associated with the policy; and process the claim based on the identified claim handling identifier.
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Specification