Graphical input display in an insurance processing system

• US 7,895,064 B2
• Filed: 09/02/2003
• Issued: 02/22/2011
• Est. Priority Date: 09/02/2003
• Status: Active Grant

• Current Assignee: Computer Sciences Corporation (DXC Technology Company)
• Original Assignee: Computer Sciences Corporation (DXC Technology Company)
• Inventors: Wahlbin, Stefan
• Primary Examiner(s): O'Connor; Gerald J.
• Assistant Examiner(s): SOREY, ROBERT A
• Application Number:
  US10/422,632
• Publication Number:
  US 20050060184A1
• Time in Patent Office: 2,730 Days
• Field of Search: 705 2- 4
• US Class Current: 705/4
• CPC Class Codes: G06F 9/453 Help systems
• CPC Class Codes: G06Q 40/02 Banking, e.g. interest calculation or account maintenance credit or loans G06Q40/03
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

A graphical display in an insurance processing system is disclosed. The graphical display may include a representation of a human body. The representation of the human body may provide information to a user that is helpful in specifying insurance claim information. For example, the representation may provide information regarding body parts, information regarding injury codes, information regarding common injuries, information regarding common treatments and/or information regarding treatment codes. The representation may also be used to provide input into the insurance processing system.

Claims

1. A method comprising:

a computer system providing a graphical display comprising an X/Y trauma fine-tuning graph including a trauma fine-tuning line, wherein the trauma fine-tuning line represents a plurality of trauma data points relating trauma severity values to monetary amounts, wherein the trauma fine-tuning line reflects baseline data based on cases for which the severity data is predetermined;

the computer system receiving, via the graphical display, a selection of at least one point on the X/Y trauma fine-tuning graph, the computer system modifying, the trauma fine-tuning, line on the X/Y trauma fine-tuning graph of the graphical display based on the received selection of the at least one point on the trauma fine-tuning graph, wherein the modified trauma fine-tuning line comprises a modification from the baseline data;

the computer system providing a plurality of impairment data points relating bodily impairment amounts to monetary amounts;

the computer system providing a graphical display comprising an X/Y impairment fine-tuning graph including an impairment fine-tuning line, wherein the impairment fine-tuning line relates bodily impairment amounts to monetary amounts based on at least two of the impairment data points based on cases for which the impairment data is predetermined;

the computer system receiving, via the graphical display, an input;

the computer system modifying the impairment fine-tuning line on the X/Y impairment fine-tuning graph of the graphical display based on the input;

determining a monetary amount associated with a trauma severity value based on the modified trauma fine-tuning line;

determining a monetary amount associated with bodily impairment based on the modified impairment fine-tuning line; and

estimating a monetary value of one or more insurance claims using the modified trauma tuning line based on the monetary amount associated with the trauma severity value and the monetary amount associated with bodily impairment.

2. The method of claim 1, further comprising:

determining at least one new impairment data point relating at least one bodily impairment amount to at least one monetary amount based on modifications to the impairment fine-tuning line in the graphical display.

3. The method of claim 2, further comprising sending a plurality of data points to an insurance claims processing system, wherein the plurality of data points sent include at least one new trauma data point and at least one new impairment data point, and wherein the plurality of data points are usable by the insurance claim processing system to relate one or more trauma severity values and one or more bodily impairment amounts to one or more monetary amounts.

4. The method of claim 2, further comprising sending data describing the modified trauma fine-tuning line and the modified impairment fine-tuning line to an insurance claim processing system, wherein the data describing the trauma fine-tuning line and the impairment fine-tuning line is usable by the insurance claim processing system to relate one or more trauma severity values and one or more bodily impairment amounts to one or more monetary amounts.

5. The method of claim 1, wherein the trauma fine-tuning line is defined by at least one function relating trauma severity values to monetary amounts.

6. The method of claim 1, wherein determining the monetary amount associated with a trauma severity value comprises determining at least one new trauma data point from the modified trauma fine-tuning line.

7. The method of claim 1, wherein the graphical display further comprises one or more data fields comprising information describing the relationship between trauma severity values and monetary amounts.

8. The method of claim 1, further comprising the computer system displaying a baseline trauma fine-tuning line in the graphical display at the same time as the modified trauma fine-tuning line, wherein the baseline trauma fine-tuning line depicts the trauma fine-tuning line before modifications, and wherein the baseline trauma fine-tuning line is not affected by modifying the trauma fine-tuning line.

9. The method of claim 1, wherein the monetary amounts comprise an estimate of the cost of the trauma associated with an insurance claim.

10. The method of claim 1, wherein the method further comprises determining a monetary amount associated with trauma before providing the graphical display of the trauma tuning line.

11. The method of claim 1, wherein the trauma fine-tuning line comprises at least one straight line segment joining two or more trauma data points.

12. The method of claim 1, wherein the trauma fine-tuning line comprises a line fit through two or more of the trauma data points using a line fitting technique.

13. The method of claim 1, wherein providing the plurality of trauma data points relating trauma severity values to monetary amounts comprises determining one or more relationships between trauma severity values and monetary amounts based on expert evaluation of one or more insurance claims.

14. The method of claim 1, wherein providing the plurality of trauma data points relating trauma severity values to monetary amounts comprises determining one or more relationships between trauma severity values and monetary amounts based on one or more closed insurance claims.

15. The method of claim 1, further comprising:

providing a warning to a user if the estimated trauma severity value is outside a range of trauma severity values used to determine the modified trauma fine-tuning line.

16. The method of claim 1, further comprising:

estimating a monetary value of the estimated trauma severity value by interpolating between two or more trauma data points.

17. The method of claim 1, wherein the trauma severity values include bodily impairment amounts.

18. The method of claim 1, wherein the computer system receiving the selection of at least one point on the X/Y trauma fine-tuning graph comprises a user dragging and dropping a point on the X/Y trauma tuning graph from one location on the X/Y trauma fine-tuning graph to another location on the X/Y trauma fine-tuning graph.

19. The method of claim 1, wherein the trauma fine-tuning line at least partially passes through a plurality of tiers, each tier corresponding to a range of monetary values, the method further comprising displaying at least one tier boundary along an X-axis of the X/Y trauma fine-tuning graph.

20. The method of claim 1, wherein the trauma fine-tuning line at least partially passes through a plurality of tiers, each tier corresponding to a range of monetary values, the method further comprising:

modifying the trauma fine-tuning line for at least one of the tiers independently from at least one other of the tiers; and

estimating a monetary value of one or more insurance claims using the modified trauma fine-tuning line.

21. The method of claim 1, wherein the trauma fine-tuning line at least partially passes through a plurality of tiers, each tier corresponding to a range of monetary values, the method further comprising:

modifying the trauma fine-tuning line for at least two of the plurality of tiers at one time; and

estimating a monetary value of one or more insurance claims using the modified trauma fine-tuning line.

22. The method of claim 1, further comprising displaying a projected claims data section, wherein the projected claims data section comprises claim data based on at least one claim modified to reflect at least one of the modified trauma fine-tuning line or the modified impairment fine-tuning line.

23. The method of claim 1, further comprising displaying an X/Y graph of one or more closed claims, wherein the X/Y graph reflects trauma severity values along one axis and monetary amounts along the other axis.

24. The method of claim 1, further comprising displaying an X/Y graph of one or more closed claims, wherein the X/Y graph reflects trauma severity values along one axis and monetary amounts along the other axis, further comprising:

receiving a selection of a particular closed claim;

graphically displaying an indicator showing the original recommended high settlement value for the selected closed claim; and

graphically displaying an indicator showing a recommended high settlement value for the selected closed claim based on a current tuning.

25. The method of claim 1, further comprising displaying an X/Y graph portion including at least one actual values component and at least one projected values component.

26. The method of claim 1, further comprising displaying an X/Y graph portion including at least one actual values component and at least one projected values component.

27. The method of claim 1, further comprising displaying an X/Y graph including a projected recommended high line.

28. The method of claim 1, wherein the modified trauma fine-tuning line and the modified impairment fine-tuning line correspond to a first region, the method further comprising:

importing data relating to closed claims from a second region into the computer system, the second region being different from the first region; and

calculating the effect on the closed claims from the second region of at least one of the modified trauma fine-tuning line or the modified impairment fine-tuning line.

29. A computer-readable storage medium comprising program instructions stored thereon, wherein the program instructions are executable to implement a method of:

providing a graphical display comprising an X/Y trauma fine-tuning graph including a trauma fine-tuning line, wherein the trauma fine-tuning line represents a plurality of trauma data points relating trauma severity values to monetary amounts, wherein the trauma fine-tuning line reflects baseline data based on cases for which the severity data is predetermined;

receiving, via the graphical display, a selection of at least one point on the X/Y trauma fine-tuning graph;

modifying the trauma fine-tuning line on the X/Y trauma fine-tuning graph of the graphical display based on the received selection of the at least one point on the trauma fine-tuning graph, wherein the modified trauma fine-tuning line comprises a modification from the baseline data;

providing a plurality of impairment data points relating bodily impairment amounts to monetary mounts;

providing a graphical display comprising an X/Y impairment fine-tuning graph including an impairment fine-tuning line, wherein the impairment fine-tuning line relates bodily impairment amounts to monetary amounts based on at least two of the impairment data points based on cases for which the impairment data is predetermined;

receiving, via the graphical display, an input;

modifying the impairment fine-tuning line on the X/Y impairment fine-tuning graph of the graphical display based on the input;

determining a monetary amount associated with a trauma severity value based on the modified trauma fine-tuning line;

determining a monetary amount associated with bodily impairment based on the modified impairment fine-tuning line; and

estimating a monetary value of one or more insurance claims using the modified trauma tuning line based on the monetary amount associated with the trauma severity value and the monetary amount associated with bodily impairment.

30. The computer-readable storage medium of claim 29, wherein the program instructions are further executable to implement a method of:

determining at least one new impairment data point relating at least one bodily impairment amount to at least one monetary amount based on modifications to the impairment fine-tuning line in the graphical display.

31. The computer-readable storage medium of claim 30, wherein the program instructions are further executable to implement a method of sending a plurality of data points to an insurance claims processing system, wherein the plurality of data points sent include at least one new trauma data point and at least one new impairment data point, and wherein the plurality of data points are usable by the insurance claim processing system to relate one or more trauma severity values and one or more bodily impairment amounts to one or more monetary amounts.

32. The computer-readable storage medium of claim 30, wherein the program instructions are further executable to implement a method of sending data describing the modified trauma fine-tuning line and the modified impairment fine-tuning line to an insurance claim processing system, wherein the data describing the trauma fine-tuning line and the impairment fine-tuning line is usable by the insurance claim processing system to relate one or more trauma severity values and one or more bodily impairment amounts to one or more monetary amounts.

33. The computer-readable storage medium of claim 29, wherein the trauma fine-tuning line is defined by at least one function relating trauma severity values to monetary amounts.

34. The computer-readable storage medium of claim 29, wherein determining the monetary amount associated with a trauma severity value comprises determining at least one new trauma data point from the modified trauma fine-tuning line.

35. The computer-readable storage medium of claim 29, wherein the graphical display further comprises one or more data fields comprising information describing the relationship between trauma severity values and monetary amounts.

36. The computer-readable storage medium of claim 29, wherein the program instructions are further executable to implement a method of displaying a baseline trauma fine-tuning line in the graphical display at the same time as the modified trauma fine-tuning line, wherein the baseline trauma fine-tuning line depicts the trauma tuning line before modifications, and wherein the baseline trauma fine-tuning line is not affected by modifying the trauma fine-tuning line.

37. The computer-readable storage medium of claim 29, wherein the monetary amounts comprise an estimate of the cost of the trauma associated with an insurance claim.

38. The computer-readable storage medium of claim 29, wherein the method further comprises determining a monetary amount associated with trauma before providing the graphical display of the trauma tuning line.

39. The computer-readable storage medium of claim 29, wherein the trauma fine-tuning line comprises at least one straight line segment joining two or more trauma data points.

40. The computer-readable storage medium of claim 29, wherein the trauma fine-tuning line comprises a line fit through two or more of the trauma data points using a line fitting technique.

41. The computer-readable storage medium of claim 29, wherein providing the plurality of trauma data points relating trauma severity values to monetary amounts comprises determining one or more relationships between trauma severity values and monetary amounts based on expert evaluation of one or more insurance claims.

42. The computer-readable storage medium of claim 29, wherein providing the plurality of trauma data points relating trauma severity values to monetary amounts comprises determining one or more relationships between trauma severity values and monetary amounts based on one or more closed insurance claims.

43. The computer-readable storage medium of claim 29, wherein the program instructions are further executable to implement a method of:

providing a warning to a user if the estimated trauma severity value is outside a range of trauma severity values used to determine the modified trauma tuning line.

44. The computer-readable storage medium of claim 29, wherein the program instructions are further executable to implement a method of:

estimating a monetary value of the estimated trauma severity value by interpolating between two or more trauma data points.

45. The computer-readable storage medium of claim 29, wherein the trauma severity values include bodily impairment amounts.

46. A system, comprising:

a CPU;

a memory coupled to the CPU, wherein the memory comprises program instructions executable to;

provide a graphical display comprising an X/Y trauma fine-tuning graph including a trauma fine-tuning line, wherein the trauma tuning line represents a plurality of trauma data points relating trauma severity values to monetary amounts, wherein the trauma fine-tuning line reflects baseline data based on cases for which the severity data is predetermined;

receive, via the graphical display, a selection of at least one point on the X/Y trauma fine-tuning graph;

modify trauma fine-tuning line on the X/Y trauma fine-tuning graph of the graphical display based on the received selection of the at least one point on the trauma fine-tuning graph, wherein the modified trauma fine-tuning line comprises a modification from the baseline data;

provide a plurality of impairment data points relating bodily impairment amounts to monetary amounts;

provide a graphical display comprising an X/Y impairment fine-tuning graph including an impairment fine-tuning line, wherein the impairment fine-tuning line relates bodily impairment amounts to monetary amounts based on at least two of the impairment data points based on cases for which the impairment data is predetermined;

receive, via the graphical display, an input;

modify the impairment fine-tuning line on the X/Y impairment fine-tuning graph of the graphical display based on the input;

determine a monetary amount associated with a trauma severity value based on the modified trauma fine-tuning line;

determine a monetary amount associated with bodily impairment based on the modified impairment fine-tuning line; and

estimate a monetary value of one or more insurance claims using the modified trauma tuning line based on the monetary amount associated with the trauma severity value and the monetary amount associated with bodily impairment.

47. The system of claim 46, wherein the program instructions are further executable to:

determine at least one new impairment data point relating at least one bodily impairment amount to at least one monetary amount based on modifications to the impairment fine-tuning line in the graphical display.

48. The system of claim 47, wherein the program instructions are further executable to send a plurality of data points to an insurance claims processing system, wherein the plurality of data points sent include at least one new trauma data point and at least one new impairment data point, and wherein the plurality of data points are usable by the insurance claim processing system to relate one or more trauma severity values and one or more bodily impairment amounts to one or more monetary amounts.

49. The system of claim 47, wherein the program instructions are further executable to implement a method of sending data describing the modified trauma fine-tuning line and the modified impairment fine-tuning line to an insurance claim processing system, wherein the data describing the trauma fine-tuning line and the impairment fine-tuning line is usable by the insurance claim processing system to relate one or more trauma severity values and one or more bodily impairment amounts to one or more monetary amounts.

50. The system of claim 46, wherein the trauma fine-tuning line is defined by at least one function relating trauma severity values to monetary amounts.

51. The system of claim 46, wherein determining the monetary amount associated with a trauma severity value comprises determining at least one new trauma data point from the modified trauma fine-tuning line.

52. The system of claim 46, wherein the graphical display further comprises one or more data fields comprising information describing the relationship between trauma severity values and monetary amounts.

53. The system of claim 46, wherein the program instructions are further executable to display a baseline trauma fine-tuning line in the graphical display at the same time as the modified trauma fine-tuning line, wherein the baseline trauma fine-tuning line depicts the trauma fine-tuning line before modifications, and wherein the baseline trauma fine-tuning line is not affected by modifying the trauma fine-tuning line.

54. The system of claim 46, wherein the monetary amounts comprise an estimate of the cost of the trauma associated with an insurance claim.

55. The system of claim 46, wherein the method further comprises determining a monetary amount associated with trauma before providing the graphical display of the trauma tuning line.

56. The system of claim 46, wherein the trauma fine-tuning line comprises at least one straight line segment joining two or more trauma data points.

57. The system of claim 46, wherein the trauma fine-tuning line comprises a line fit through two or more of the trauma data points using a line fitting technique.

58. The system of claim 46, wherein providing the plurality of trauma data points relating trauma severity values to monetary amounts comprises determining one or more relationships between trauma severity values and monetary amounts based on expert evaluation of one or more insurance claims.

59. The system of claim 46, wherein providing the plurality of trauma data points relating trauma severity values to monetary amounts comprises determining one or more relationships between trauma severity values and monetary amounts based on one or more closed insurance claims.

60. The system of claim 46, wherein the program instructions are further executable to:

provide a warning to a user if the estimated trauma severity value is outside a range of trauma severity values used to determine the modified trauma fine-tuning line.

61. The system of claim 46, wherein the program instructions are further executable to:

estimate a monetary value of the estimated trauma severity value by interpolating between two or more trauma data points.

62. The system of claim 46, wherein the trauma severity values include bodily impairment amounts.