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Insurance form indicia system

  • US 4,616,854 A
  • Filed: 07/16/1985
  • Issued: 10/14/1986
  • Est. Priority Date: 07/16/1985
  • Status: Expired due to Fees
First Claim
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1. An insurance claim form comprising a plurality of first pattern areas including data representing identity of an insurance claimant and identity of a health insurance company,a plurality of second pattern areas including symbols sensible by optical character recognition technique,each second pattern area being spaced from all others of said second pattern areas so as to isolate the sensing of said each second pattern area from the sensing of all other second pattern areas in order to prevent erroneous sensing,said symbols carried in at least one of said second pattern areas being correlated in a predetermined manner with at least one datum entered in one of said first pattern areas,wherein at least one of said first pattern areas includes data corresponding to one of the insurance claimant'"'"'s name, the insurance claimant'"'"'s address, the name of a health insurance company against which a claim is filed, the address of a health insurance company against which a claim is filed.

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