Method and system for submitting and tracking insurance claims via the internet

• US 20010037224A1
• Filed: 01/31/2001
• Published: 11/01/2001
• Est. Priority Date: 01/31/2000
• Status: Abandoned Application

• Current Assignee: ClaimPort, Inc. (Fair Isaac Corporation)
• Original Assignee: ClaimPort, Inc. (Fair Isaac Corporation)
• Inventors: Burtle, William J., Tanner, Robbie L., Eldridge, James A.
• Application Number:
  US09/773,333
• Publication Number:
  US 20010037224A1
• Time in Patent Office: Days
• US Class Current: 705/4
• CPC Class Codes: G06Q 30/02 Marketing; Price estimation or determination; Fundraising
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

A method of submitting insurance reports or claims over the Internet is provided. In one embodiment, a transmitter client submits a claim file or report over the Internet to a transmitter/reporter database on a remote server. The transmitter/reporter database performs certain checks and edits of the received claim file or report, and then transmits the claim file or report to the appropriate state or jurisdiction. Upon receipt of the claim file or report, the jurisdiction will transmit back to the transmitter/reporter database an acknowledgement for each claim record within the report. The transmitter/reporter database performs certain checks on the acknowledgement file and then transmits the acknowledgements back to the inbox of the transmitter client.

Claims

1. A method in a computer system for submitting insurance reports, the method comprising:

creating, with a client computer, a claim file containing at least one insurance report, said report being formatted in one of a set of known standard formats;

transmitting said claim file to a jurisdiction over a computer network connection; and

receiving an acknowledgement from said jurisdiction over said computer network connection.

2. The method of

claim 1

, wherein said transmitting step comprises:

sending said claim file to a transmitter database; and

sending said claim file from said transmitter database to said jurisdiction when said jurisdiction is connected with said transmitter database.

3. The method of

claim 2

, wherein said receiving step comprises:

receiving, by said transmitter database, said acknowledgement from said jurisdiction for each report; and

sending, to said client computer, said acknowledgement form from said transmitter database.

4. The method of

claim 3

, wherein said insurance report within said claim file is an insurance claim.

5. The method of

claim 3

, further comprising performing, by said transmitter database, structural edits on said claim file prior to sending said claim file to said jurisdiction.

6. The method of

claim 5

, further comprising performing, by said transmitter database, field-level edits on said claim file prior to sending said claim file to said jurisdiction.

7. The method of

claim 3

, further comprising performing, by said transmitter database, edits upon said acknowledgement prior to sending said acknowledgement from said transmitter database.

8. The method of

claim 3

, further comprising tracking a status of said report through said transmitting and receiving steps.

9. The method of

claim 1

, wherein said creating step comprises:

accessing a transmitter/reporter database;

receiving, from said transmitter/reporter database, prompts for information; and

inputting, with said client computer, information as prompted by said transmitter/reporter database,

wherein said client computer interacts with said transmitter/reporter database to create a claim file that is formatted in one of a set of known standard formats.

10. The method of

claim 1

, wherein the network is the Internet.

11. A computer-readable medium having computer-executable instructions for performing the steps recited in

claim 1

.

12. A computer system having a memory, an operating system and a central processor, said processor being operable to execute the instructions stored on the computer-readable medium of

claim 11

.

13. A computer-readable medium having computer-executable components for managing the transfer of insurance reports over a network, comprising:

a receiving component which receives claim files containing at least one insurance report over a computer network connection from at least one client;

a transmitting component which transmits said claim file to a predetermined jurisdiction over a computer network connection; and

a receiving component which receives an acknowledgement from said jurisdiction over said computer network.

14. The computer-readable medium of

claim 13

, further comprising a transmitting component which transmits said acknowledgement received from said jurisdiction to said client.

15. The computer-readable medium of

claim 13

, further comprising a notification component which notifies said client upon receiving said acknowledgement from said jurisdiction.

16. The computer-readable medium of

claim 15

, further comprising an editing component which performs structural edits upon said claim files prior to activation of said transmitting component.

17. The computer-readable medium of

claim 15

, further comprising an editing component which performs field-level edits upon said claim files prior to activation of said transmitting component.