Automated processing of medical data for disability rating determinations
First Claim
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1. A computer-implemented first method for facilitating adjudication of a medical disability request, the first method comprising:
- receiving, into a computer-readable storage, medical evidence data concerning a claimant, and at least one claim by the claimant of a medical condition;
selecting, from a predetermined set of medical evidence queries, a plurality of claim-type specific medical evidence queries based on and limited by the at least one claim and based on and limited by the disability rating rules collection;
receiving answers to the medical evidence queries, said answers corresponding to the medical evidence data;
determining a degree of disability of the claimant based on the medical evidence data and on a disability rating rules collection; and
wherein the selecting the plurality of claim-type specific medical evidence queries comprises excluding queries, from the predetermined set of medical evidence queries, that are, based on the disability rating rules collection, not specific to the claim or claim type.
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Abstract
Methods and systems are described for automated processing of medical data for insurance and disability determinations. Based on medical conditions claimed by the claimant, medical evidence queries are automatically generated to provide instructions to medical providers for conducting physical exams and laboratory tests and for retrieving medical records. After medical evidence is collected according to the queries, the medical evidence and related rating codes and decisions are displayed to rating personnel in a user-friendly format to assist in making a rating decision.
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Citations
20 Claims
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1. A computer-implemented first method for facilitating adjudication of a medical disability request, the first method comprising:
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receiving, into a computer-readable storage, medical evidence data concerning a claimant, and at least one claim by the claimant of a medical condition; selecting, from a predetermined set of medical evidence queries, a plurality of claim-type specific medical evidence queries based on and limited by the at least one claim and based on and limited by the disability rating rules collection; receiving answers to the medical evidence queries, said answers corresponding to the medical evidence data; determining a degree of disability of the claimant based on the medical evidence data and on a disability rating rules collection; and wherein the selecting the plurality of claim-type specific medical evidence queries comprises excluding queries, from the predetermined set of medical evidence queries, that are, based on the disability rating rules collection, not specific to the claim or claim type. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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Specification