Systems and methods for managing insurance claims

US7840422B1 · kind B1 · utility

Assignee

• Trover Solutions, Inc. · US

Inventors

• Mitzi R. Hail · Louisville, US
• Berry Hayes, Sr. · Louisville, US
• Thomas Edward Taylor · San Francisco, US
• William C. Moore · Waynesboro, US
• Bobby T. Tokuuke · Morehead, US

Key dates

• Filing date: Aug 6, 2003
• Grant date: Nov 23, 2010
• Expiry date: Nov 19, 2028

Classification

• Technology area (CPC G): Physics
• CPC primary: G06Q40/08
• WIPO field: IT methods for management
• WIPO sector: Electrical engineering

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.