Method and System for Enabling Automatic Insurance Claim Processing

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United States of America Patent

APP PUB NO 20070282639A1
SERIAL NO

11562131

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Abstract

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An administrative support system and method for automatically processing insurance claims is provided. The system includes data storage and a processor, where the system retrieves data associated with an insurance claim, identifies at least one issue associated with the retrieved insurance claim data, analyzes the insurance claim data and the at least one issue using at least one predefined condition to determine whether issues can be resolved automatically, and automatically resolves the analyzed insurance claim data having the associated at least one issue meeting the at least one predefined condition. The method includes retrieving data associated with an insurance claim, identifying at least one issue associated with the retrieved insurance claim data, analyzing the insurance claim data and the at least one issue using at least one predefined condition to determine whether issues can be resolved automatically, and automatically resolving the analyzed insurance claim data having the associated one or more issues meeting the at least one predefined condition.

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Patent Owner(s)

Patent OwnerAddress
UNITEDHEALTH GROUP INCORPORATED9900 BREN ROAD EAST MINNETONKA MN 55343

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Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Companion, Tracine A Middle Grove, NY 1 60
Desjardins, Linda S Marlborough, CT 1 60
Doyle, Eileen Vernon, CT 1 60
Henne, David M Richfield, MN 1 60
Leszuk, Mary E Unionville, CT 1 60

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