Providing evaluation and processing of line items

• US 7,124,112 B1
• Filed: 09/22/2000
• Issued: 10/17/2006
• Est. Priority Date: 09/22/2000
• Status: Expired due to Term

• Current Assignee: DUCK Creek Technologies Incorporated
• Original Assignee: Accenture LLP (Accenture PLC)
• Inventors: Guyan, G. Victor, Michaels, Nicole K.
• Primary Examiner(s): Bashore, Alain L.
• Application Number:
  US09/667,612
• Time in Patent Office: 2,216 Days
• Field of Search: 705/44, 705/4, 705/1, 705/35, 345/428
• US Class Current: 705/44
• CPC Class Codes: G06Q 20/40 Authorisation, e.g. identification of payer or payee, verification of customer or shop credentials; Review and approval of payers, e.g. check credit lines or negative lists
• CPC Class Codes: G06Q 40/00 Finance; Insurance; Tax strategies; Processing of corporate or income taxes
• CPC Class Codes: G06Q 40/02 Banking, e.g. interest calculation or account maintenance credit or loans G06Q40/03

Abstract

Methods, systems, and articles of manufacture consistent with the present invention use a data processing system for evaluating line item data. The method involves displaying at least one line item from a central database; receiving a selection of at least one line item from a claim handler; and receiving authorization from the claim handler to execute payment of the selected line item. The authorization is for either a direct payment, vendor transfer, line item payment, or preauthorized payment.

Claims

1. A method of evaluating line item data, the method comprising:

displaying via a display of a computer network at least one line item of an insurance related claim presented to an insurer;

accessing from the computer network a database of excluded vendors and authorized vendors to fulfill the insurance related claim;

displaying via the computer network a list of authorized vendors and a list of excluded vendors that correspond with the at least one line item, wherein the authorized vendors are selected from the group consisting of vendors with a preferred status as determined by the insurer, franchised vendors, and vendors that allow an upgrade;

accessing from the computer network vendor data associated with the list of authorized vendors and the list of excluded vendors;

receiving from the computer network a selection of at least one vendor from the list of authorized vendors to fulfill the insurance related claim; and

receiving authorization from a claim handler to execute payment of the selected at least one line item of the insurance related claim.

2. The method of claim 1 further comprising performing an update of the database of authorized vendors.

3. The method of claim 1 further comprising receiving authorization to execute payment for additional line items, adding payment authorizations associated with one payee, and executing a single payment of a plurality of line items to the payee.

4. The method of claim 1 wherein the authorization is for repetitive payments, and receiving information of at least one of start date, end date, number of payments and frequency of payments.

5. The method of claim 1 further comprising maintaining the database of authorized vendors by updating the vendor data selected from the group consisting of a bill paying score, vendor performance data, vendor financial health, vendor preferred status, vendor complaint data, vendor relationship level, vendor products and vendor services.

6. The method of claim 1 further comprising displaying an add vendor interface receiving identifying information regarding a new vendor, receiving vendor authorization data, and incorporating the new vendor into the database of authorized vendors.

7. The method of claim 1 further comprising receiving at least one line item in a central database.

8. The method of claim 1 wherein the vendor data information includes at least one of:

names associated with the list of authorized vendors, addresses associated with the list of authorized vendors, types of products associated with the list of authorized vendors, types of supplies associated with the list of authorized vendors, phone numbers associated with the list of authorized vendors, electronic mail address associated with the list of authorized vendors, tax ID numbers associated with the list of authorized vendors and types of organizations associated with the list of authorized vendors.

11. The method of claim 1 wherein authorization is for a payment in a form selected from the group consisting of a direct payment, vendor transfer, line item payment, and preauthorized payment.

12. The method of claim 11 further comprising allowing vendor transfer or preauthorized payment only when vendor data indicates the at least one vendor has the preferred status.

13. The method of claim 11 wherein the authorizing a direct payment comprises receiving an amount for a direct payment.

14. The method of claim 11 wherein the authorizing a direct payment comprises communicating with a back office system to issue a payment to a claimant.

15. The method of claim 11 wherein the authorized vendors are vendors that allow an upgrade and the executed payment is the vendor transfer, and wherein the receiving authorization further comprises receiving a selection of the availability of the upgrade.

16. The method of claim 11 wherein the executed payment is the vendor transfer, and wherein the receiving authorization further comprises verifying a deduction.

17. The method of claim 11 wherein the receiving authorization comprises:

receiving the selection of at least one line item;

receiving the selection of a form of payment; and

authorizing the transaction.

18. The method of claim 17 wherein the receiving authorization comprises receiving a form of payment selected from the group consisting of a check and an electronic funds transfer.

19. The method of claim 18 wherein the receiving the form of payment comprises receiving a check and further comprises receiving checking account information.

20. The method of claim 18 wherein the receiving the form of payment comprises receiving an electronic funds transfer and further comprises receiving electronic funds transfer information.

21. The method of claim 11 wherein the executed payment is the preauthorized payment and the receiving authorization further comprises:

displaying the list of authorized vendors and the at least one line item on a preauthorized payment screen; and

receiving a selection of at least one preauthorized vendor from the list of authorized vendors.

22. The method of claim 21 further comprising receiving a threshold amount for which payment will not exceed.

23. The method of claim 21 further comprising receiving a selection of item categories for which payment will be made.

24. The method of claim 21 further comprising receiving a date range for which payment will be made.

9. A method of evaluating line item data, the method comprising:

displaying via a display of a computer network at least one line item of an insurance related claim presented to an insurer;

accessing from the computer network a database having a list of excluded vendors and authorized vendors to fulfill the insurance related claim;

comparing the list of authorized vendors and the list of excluded vendors with the at least one line item, wherein the authorized vendors are selected from the group consisting of vendors with a preferred status as determined by the insurer, franchised vendors, and vendors that allow an upgrade;

displaying via the computer network vendor data on the availability of the upgrade for the at least one line item;

receiving from the computer network a selection of at least one vendor from the list of authorized vendors that corresponds with the at least one line item to fulfill the insurance related claim; and

receiving authorization from a claim handler to execute at least one payment of the selected at least one line item of the insurance related claim.

10. The method of claim 9 wherein the at least one vendor is selected based on the availability of the upgrade of the at least one line item.

25. A system for evaluating line item data, comprising:

a processor for executing programs; and

a memory for storing a program executable by the processor, the stored program including instructions for (i) displaying at least one line item of an insurance related claim presented to an insurer;

(ii) accessing a database of vendors having a list of authorized vendors and a list of excluded vendors to fulfill the insurance related claim;

(iii) displaying the list of authorized vendors and the list of excluded vendors that correspond with the at least one line item, wherein the authorized vendors are selected from the group consisting of vendors with a preferred status, franchised vendors, or vendors that allow an upgrade;

(iv) accessing vendor data associated with the list of authorized vendors and the list of excluded vendors;

(v) receiving a selection of at least one vendor from the list of authorized vendors to fulfill the insurance related claim; and

(vi) receiving authorization from a claim handler to execute payment of the selected at least one line item of the insurance related claim.

26. The system of claim 25 wherein the authorization is for a payment in a form selected from the group consisting of direct payment, vendor transfer, line item payment, and preauthorized payment.

27. The system of claim 26 wherein the payment is the direct payment and the receiving authorization further includes receiving an amount for the direct payment.

28. The system of claim 26 wherein the payment is the direct payment and the receiving authorization further includes communicating with a back office system to issue payment to a claimant.

29. The system of claim 26 wherein the authorized vendors are vendors that allow an upgrade and the executed payment is the vendor transfer, and wherein the receiving authorization includes receiving a selection of an availability of the upgrade.

30. The system of claim 26 wherein the executed payment is the vendor transfer, and wherein the receiving authorization includes verifying a deduction.

31. The system of claim 26 wherein the receiving authorization includes (i) receiving the selection of at least one line item;

(ii) receiving the selection of a form of a payment; and

(iii) authorizing the transaction.

32. The system of claim 31 wherein receiving the selection of a form of payment includes receiving a form of payment selected from the group consisting of a check and an electronic funds transfer.

33. The system of claim 32 wherein the form of payment is the check and the receiving a form of payment further includes receiving checking account information.

34. The system of claim 32 wherein the form of payment is the electronic fund transfer and the receiving a form of payment further includes receiving electronic funds transfer information.

35. The system of claim 26 wherein the payment is the preauthorized payment and the receiving authorization includes:

(i) displaying the list of authorized vendors and the at least one line item on a preauthorized payment screen; and

(ii) receiving a selection of at least one preauthorized vendor from the list of authorized vendors.

36. The system of claim 35 wherein the stored program further includes instructions for receiving a threshold amount for which payment will not exceed.

37. The system of claim 35 wherein the stored program further includes instructions for receiving a selection of item categories for which payment will be made.

38. The system of claim 35 wherein the stored program further includes instructions for receiving a date range for which payment will be made.

40. The computer readable medium of claim 29 wherein the authorization is for a payment in a form selected from the group consisting of a direct payment, vendor transfer, line item payment, and preauthorized payment.

41. The computer readable medium of claim 40 wherein the payment is the direct payment and wherein the receiving authorization comprises receiving an amount for a direct payment.

42. The computer readable medium of claim 40 wherein the payment is the direct payment and wherein the receiving authorization comprises communicating with a back office system to issue payment to a claimant.

43. The computer readable medium of claim 40 wherein the payment is the vendor transfer and the vendors with a preferred status are the vendors that allow the upgrade, and wherein the receiving authorization further comprises receiving a selection of the availability of the upgrade.

44. The computer readable medium of claim 40 wherein the payment is the vendor transfer and wherein the receiving authorization further comprises verifying a deduction.

45. The computer readable medium of claim 40 wherein the receiving authorization comprises:

receiving the selection of at least one line item;

receiving the selection of a form of payment; and

authorizing the transaction.

46. The computer readable medium of claim 45 wherein the receiving authorization comprises receiving a form of payment selected from the group consisting of a check and an electronic funds transfer.

47. The computer readable medium of claim 46 wherein the the form of payment is the check and the receiving a form of payment further comprises receiving checking account information.

48. The computer readable medium of claim 46 wherein the the form of payment is the electronic fund transfer and the receiving a form of payment further comprises receiving electronic funds transfer information.

49. The computer readable medium of claim 40 wherein the receiving authorization comprises:

displaying the list of authorized vendors and the at least one line item on a preauthorized payment screen; and

receiving a selection of at least one preauthorized vendor from the list of authorized vendors.

50. The computer readable medium of claim 49 further comprising receiving a threshold amount for which payment will not exceed.

51. The computer readable medium of claim 49 further comprising receiving a selection of item categories for which payment will be made.

52. The computer readable medium of claim 49 further comprising receiving a date range for which payment will be made.

39. A computer readable medium containing instructions for controlling a computer system to perform a method for evaluating line item data, the method comprising:

displaying at least one line item of an insurance related claim presented to an insurer;

accessing a database of excluded vendors and authorized vendors to fulfill the said insurance related claim;

displaying a list of authorized vendors and a list of excluded vendors that correspond with the at least one line item, wherein the authorized vendors are selected from the group consisting of vendors with a preferred status as determined by the insurer, franchised vendors, and vendors that allow an upgrade;

accessing vendor data associated with the list of authorized vendors and the list of excluded vendors;

receiving a selection of at least one vendor from the list of authorized vendors to fulfill the insurance related claim; and

receiving authorization from a claim handler to execute payment of the selected at least one line item of the insurance related claim.