Systems and methods for insurance claims settlements

• US 8,775,215 B1
• Filed: 07/22/2008
• Issued: 07/08/2014
• Est. Priority Date: 07/22/2008
• Status: Active Grant

• Current Assignee: United Services Automobile Association
• Original Assignee: USAA United Services Automobile Association
• Inventors: Butler, James P., Niebling, Connie T., Appenzeller, Sha L., Fuhrmann, Ericka K.
• Primary Examiner(s): Liu, Marissa
• Application Number:
  US12/177,544
• Time in Patent Office: 2,177 Days
• Field of Search: 705 1-100, 205 1- 30, 709 1-133, 713195-200, 235 1- 88
• US Class Current: 705/4
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records

Abstract

Systems and methods for insurance claims processing are provided. A system for processing insurance claims may comprise at least one subsystem that makes an automatic assignment of a project to a loss services provider via a selection of an item on a user interface, and at least one subsystem that incorporates information from a report from the loss services provider into a database without manual retyping of said information from the report.

Claims

1. A system for settling insurance claims comprising:

at least one hardware-implemented computing system that provides documentation via a website to a claimant to provide to one or more medical care providers, said documentation required by said one or more medical care providers in order to release records associated with said claimant, and said documentation configured to be electronically signed by said claimant before electronic submission to said one or more medical care providers;

at least one hardware-implemented computing system that transmits a signed electronic document to said one or more medical care providers, said signed electronic document being signed by said claimant, and said signed electronic document releasing records comprising medical records and medical bills to said system for settling insurance claims;

at least one hardware-implemented computing system that receives, in response to said electronically transmitted signed electronic document, one or more of said records associated with said claimant; and

at least one hardware-implemented computing system that provides a settlement offer to said claimant based at least in part on said one or more records received, said settlement offer provided on said website.

2. The system of claim 1 wherein said at least one hardware-implemented computing system that provides aid documentation and said at least one subsystem that provides said settlement offer are configured to provide said documentation and provide said settlement offer electronically within an account said claimant accesses via a computer network.

3. A method for settling insurance claims comprising:

providing documentation, by a hardware-implemented computing system, via a website to a claimant to provide to one or more medical care providers, said documentation required by said one or more medical care providers in order to release records associated with said claimant, and said documentation configured to be electronically signed by said claimant before electronic submission to said one or more medical care providers;

transmitting, by the hardware-implemented computing system, a signed electronic document to said one or more medical care providers, said signed electronic document being signed by said claimant, and said signed electronic document releasing records comprising medical records and medical bills for settling an insurance claim;

receiving, by the hardware-implemented computing system, in response to said electronically transmitted signed electronic document, one or more of said records associated with said claimant; and

providing, by the hardware-implemented computing system, a settlement offer to said claimant based at least in part on said one or more records received, said settlement offer provided on said website.

4. The method of claim 3 wherein said providing of said documentation and said providing of said settlement offer are performed electronically within an account said claimant accesses via a computer network.

5. A non-transitory computer-readable medium comprising computer-readable instructions for settling insurance claims, said computer-readable instructions comprising instructions for:

providing documentation via a website to a claimant to provide to one or more medical care providers, said documentation required by said one or more medical care providers in order to release records associated with said claimant, and said documentation configured to be electronically signed by said claimant before electronic submission to said one or more medical care providers;

transmitting a signed electronic document to said one or more medical care providers, said signed electronic document being signed by said claimant, and said signed electronic document releasing records comprising medical records and medical bills for settling an insurance claim;

receiving, in response to said electronically transmitted signed electronic document, one or more of said records associated with said claimant; and

providing a settlement offer to said claimant based at least in part on said one or more records received, said settlement offer provided on said website.

6. The non-transitory computer-readable medium of claim 5 wherein the computer readable instructions for providing of said documentation and said computer readable instructions for providing of said settlement offer comprise computer readable instructions for performing said providing of said documentation and providing of said settlement offer within an account said claimant accesses via a computer network.