Health and welfare benefit enrollment and billing system and method
First Claim
Patent Images
1. A health and welfare benefit enrollment and billing system, comprising:
- enrolling means for enrolling at least one person in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider, said enrolling means includingmeans for recording an enrollment history for the at least one person, said enrollment history including a plurality of records, said plurality of records including one or more records identifying historical coverage options, a record identifying present coverage options, and one or more records identifying future coverage options, said means for recording being operative to generate a new record each time a modification is made to an enrollment;
means for determining whether the at least one person has met a prerequisite to being enrolled in a future coverage option in the at least one health and welfare benefit plan; and
means, responsive to said means for determining, for adding a record to said enrollment history that reflects that said prerequisite has been met; and
bill generating means for generating a bill for fees due to the at least one health and welfare benefit plan provider as a result of the enrollment of the at least one person in the at least one health and welfare benefit plan.
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Abstract
A health and welfare benefit enrollment and billing system and method, wherein a least one person is enrolled in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider and a bill is generated for fees due to the at least one health and welfare benefit plan provider as a result of the enrollment of the at least one person in the at least one health and welfare benefit plan.
165 Citations
30 Claims
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1. A health and welfare benefit enrollment and billing system, comprising:
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enrolling means for enrolling at least one person in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider, said enrolling means including means for recording an enrollment history for the at least one person, said enrollment history including a plurality of records, said plurality of records including one or more records identifying historical coverage options, a record identifying present coverage options, and one or more records identifying future coverage options, said means for recording being operative to generate a new record each time a modification is made to an enrollment; means for determining whether the at least one person has met a prerequisite to being enrolled in a future coverage option in the at least one health and welfare benefit plan; and means, responsive to said means for determining, for adding a record to said enrollment history that reflects that said prerequisite has been met; and bill generating means for generating a bill for fees due to the at least one health and welfare benefit plan provider as a result of the enrollment of the at least one person in the at least one health and welfare benefit plan. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 27)
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14. A health and welfare benefit enrollment and billing method, comprising the steps of:
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entering data into one of a single computerized database management system and a plurality of interconnected computerized database management systems; enrolling at least one person in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems, wherein the step of enrolling includes the step of recording an enrollment history for the at least one person, said enrollment history including a plurality of records, said plurality of records including one or more records identifying historical coverage options, a record identifying present coverage options, and one or more records identifying future coverage options, wherein the step of recording includes the step of generating a new record each time a modification is made to an enrollment; determining whether the at least one person has met a prerequisite to being enrolled in a future coverage option in the at least one health and welfare benefit plan; if it is determined that said prerequisite has been met, then adding a record to said enrollment history that reflects that said prerequisite has been met; and generating a bill for fees due to the at least one health and welfare benefit plan provider as a result of the enrollment of the at least one person in the at least one health and welfare benefit plan in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 28)
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29. A health and welfare benefit enrollment and billing method, comprising the steps of:
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entering data into one of a single computerized database management system and a plurality of interconnected computerized database management systems; enrolling at least one person in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems, wherein the step of enrolling includes the step of recording an enrollment history for the at least one person, said enrollment history including a plurality of records, said plurality of records including one or more records identifying historical coverage options, a record identifying present coverage options, and one or more records identifying future coverage options, wherein the step of recording includes the step of generating a new record each time a modification is made to an enrollment; determining whether the at least one person has met a prerequisite to being enrolled in a future coverage option in the at least one health and welfare benefit plan; and if it is determined that said prerequisite has been met, then adding a record to said enrollment history that reflects that said prerequisite has been met. - View Dependent Claims (30)
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Specification