Systems and methods for managing insurance claims

Details Systems and methods for managing insurance claims Systems and methods for managing insurance claims

2003-08-06

2010-11-23

Koppikar, Vivek D (Department: 3686)

Data processing: financial, business practice, management, or co

Automated electrical financial or business practice or...

Insurance

C705S002000

Reexamination Certificate

active

07840422

ABSTRACT:
Methods and systems for managing insurance claims include facilitating prepayment decisions, provider bill auditing, and recovery of paid claims. Prepayment decisions include, for example, determining whether to pay, deny, or defer an insurance claim submitted by an insured. Provider bill auditing may include, for example, examining bills related to an insurance claim for accuracy. Recovery of paid claims may include managing litigations and calculating fees due for recovery services.

REFERENCES:
patent: 4773009 (1988-09-01), Kucera et al.
patent: 4868750 (1989-09-01), Kucera et al.
patent: 5182705 (1993-01-01), Barr et al.
patent: 5442780 (1995-08-01), Takanashi et al.
patent: 5504674 (1996-04-01), Chen et al.
patent: 5550734 (1996-08-01), Tarter et al.
patent: 5583758 (1996-12-01), McIlroy et al.
patent: 5594638 (1997-01-01), Iliff
patent: 5594639 (1997-01-01), Atsumi
patent: 5666492 (1997-09-01), Rhodes et al.
patent: 5855005 (1998-12-01), Schuler et al.
patent: 5918217 (1999-06-01), Maggioncalda et al.
patent: 5950169 (1999-09-01), Borghesi et al.
patent: 5991733 (1999-11-01), Aleia et al.
patent: 6049773 (2000-04-01), McCormack et al.
patent: 6336096 (2002-01-01), Jernberg
patent: 6810382 (2004-10-01), Wamsley et al.
patent: 6950805 (2005-09-01), Kavanaugh
patent: 7343308 (2008-03-01), Rojewski et al.
patent: 2002/0035488 (2002-03-01), Aquila et al.
patent: 2002/0035528 (2002-03-01), Simpson et al.
patent: 2002/0087364 (2002-07-01), Lerner et al.
patent: 2002/0177991 (2002-11-01), Ejerhed
patent: 2001-89346 (2002-05-01), None
IRT Business This Week 2 (Fraud): Some insurance firms have paid bounties to beat fraud—Insurers say fraudulent claims cost them (pounds) 30 million last yea.
Bowers, Barbara, “Bridging the great divide,” Best's Review, vol. 100, No. 7, Nov. 1999, ISSN: 0161-7745, Dialog ID No.: 01957225 46498745, pp. 39-49.
USPTO Office Action mailed Oct. 12, 2006 in co-pending U.S. Appl. No. 10/118,060, 11 pgs.
USPTO Final Office Action mailed Apr. 2, 2007 in co-pending U.S. Appl. No. 10/118,060, 11 pgs.
USPTO Office Action mailed Nov. 5, 2007 in co-pending U.S. Appl. No. 10/118,060, 10 pgs.
USPTO Office Action mailed Apr. 24, 2008 in co-pending U.S. Appl. No. 10/118,060, 11 pgs.
USPTO Advisory Action mailed Sep. 19, 2008 in co-pending U.S. Appl. No. 10/118,060, 3 pgs.
USPTO Examiner's Answer mailed Nov. 28, 2008 in co-pending U.S. Appl. No. 10/118,060, 16 pgs.

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