HEALTH OR PHARMACY PLAN BENEFIT TESTING
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United States of America Patent
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Issued Date -
Jan 28, 2016
app pub date -
Jul 24, 2014
filing date -
Jul 24, 2014
priority date (Note) -
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Abstract
A benefit plan testing system and process are disclosed. The system and process provide for receiving a benefit plan specification, the benefit plan specification including a plurality of documents including indications of requirements of a benefit plan, consolidating the benefit plan specification into a benefit matrix, generating a set of test claims based in part on the benefit matrix, and adjudicating the set of test claims under the benefit plan.
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