Systems, Methods, and Computer Program Products for Processing Insurance Claims
First Claim
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1. A method for processing insurance claims, the method comprising employing a process server to deploy and execute services of a service-oriented architecture comprising computer executable instructions stored on a tangible computer-readable medium to perform the steps of:
- using a user interface layer of a global claims online application to enter data about an insurance claim into the global claims online application;
processing service requests via an enterprise service bus (ESB);
invoking business data services using the global claims online application user interface layer to store the entered insurance claim data in a claim transactional database;
invoking business orchestration using a workflow management module of the global claims online application and the ESB to perform a sequence of work objects to be completed for processing the insurance claim.
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Abstract
Systems, methods, and computer program products for processing a claimant'"'"'s insurance claim provide the architectural components to facilitate a common philosophy and infrastructure for processing claims in a consistent manner. A highly cohesive infrastructure can be provided that allows for legacy systems to participate in a service-oriented manner.
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Citations
20 Claims
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1. A method for processing insurance claims, the method comprising employing a process server to deploy and execute services of a service-oriented architecture comprising computer executable instructions stored on a tangible computer-readable medium to perform the steps of:
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using a user interface layer of a global claims online application to enter data about an insurance claim into the global claims online application; processing service requests via an enterprise service bus (ESB); invoking business data services using the global claims online application user interface layer to store the entered insurance claim data in a claim transactional database; invoking business orchestration using a workflow management module of the global claims online application and the ESB to perform a sequence of work objects to be completed for processing the insurance claim. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A non-transitory, tangible computer-readable storage medium bearing instructions for processing insurance claims, the instructions, when executing on one or more computing devices, perform the steps of:
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using a web server to display a user interface layer of a global claims online application on a user interface browser to receive data about an insurance claim; processing service requests via an enterprise service bus (ESB); invoking business data services in response to input from the global claims online application user interface layer to store the entered insurance claim data in a claim transactional database; invoking business orchestration using a workflow management module of the global claims online application and the ESB to perform a sequence of work objects to be completed for processing the insurance claim.
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11. A system for processing insurance claims comprising:
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a physical computer-readable medium including a global claims online application, the global claims online application including; a user interface layer adapted to allow a user to interface with the global claims online application, a workflow management module adapted to determine a sequence of work objects to be completed for the insurance claim and to determine which user of a set of users works on each of the work objects relating to the insurance claim, and a business rules management module adapted to manage logical rules for segmenting the insurance claim or a feature thereof to follow a predetermined workflow; a physical computer-readable medium housing an enterprise messaging system having an enterprise service bus (ESB) adapted to route messages for processing service requests; a processor adapted to execute the global claims online application contained on the physical computer-readable medium and to deploy and execute services of a service-oriented architecture through the ESB. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20)
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Specification