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System and method for administering dynamic security benefits and payments

  • US 8,103,528 B2
  • Filed: 04/24/2008
  • Issued: 01/24/2012
  • Est. Priority Date: 11/20/2007
  • Status: Active Grant
First Claim
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1. A computer system for administering of data associated with insurance coverage provided by a service provider for a client, the data indicative of coverage of at least two categories of health events, said system comprising:

  • a data storage module comprising a memory storage device storing data indicative of an aggregate benefit amount associated with the insurance coverage, the aggregate benefit amount being a maximum benefit amount payable under the insurance coverage;

    information associated with said at least two categories of health events, the information including data indicative of an identification of each of the two categories of health events, a benefit allocation corresponding to each of said categories of health events, the benefit allocations being fractions of and totaling the aggregate benefit amount, and a payout structure associated with each of said health events; and

    a processing module, comprising a processor and in communication with the data storage module, configured to, in response to receipt of data indicative of a claim, access data from the data storage module, determine benefit eligibility, benefit amount and payout structure, and provide an output signal having data indicative of the benefit amount, the benefit amount for each of the categories of health events having a maximum equal to the corresponding benefit allocation; and

    a payment module configured to, responsive to receipt of the output signal from the processing module pay the benefit in accordance with the data received from the processing module.

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