Methods and systems for adjudication and processing of claims

Inactive Publication Date: 2007-10-04
FIDELITY INFORMATION SERVICES LLC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0006]Embodiments of the invention thus provide methods and systems for processing a request for reimbursement of an expense incurred from a service provider by a customer. A first electronic packet that comprises the reimbursement request is received at a coordination system. The reimbursement request comprises an identification of the customer, an identification of a reimbursement-account provider, and a reimbursement amount. A second electronic packet is transmitted from the coordination system to a provider platform maintained by

Problems solved by technology

It is well known that the cost of medical services has been increasing rapidly in the last several years, outpacing the general rate of inflation by a significant amount.
The need to comply with different requirements for different accounts is not only frustrating for employees, but acts as an inhibition to taking full advantage of the benefits that such accounts m

Method used

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  • Methods and systems for adjudication and processing of claims
  • Methods and systems for adjudication and processing of claims
  • Methods and systems for adjudication and processing of claims

Examples

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Embodiment Construction

[0019]Embodiments of the invention provide methods and systems for the adjudication and processing of claims for reimbursement from reimbursement accounts. As used herein, a “reimbursement account” is an account to which periodic payments are made by a customer, usually as deductions from a paycheck, with the finds in the account being available for reimbursement for defined categories or types of expenses. In some instances, the payments made to the reimbursement account may be sheltered from income tax. In some instances, advances on the reimbursement account may be permitted. Such advances usually function in arrangements where an employee agrees to contribute a certain total amount to the account with periodic payments over a defined time period such as a year. The employee may be permitted to be reimbursed for a qualifying expense on an advance basis, provided the expense was incurred during the defined time period and the reimbursement is for an amount less that the total contrib

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Abstract

Methods and systems process a request for reimbursement of an expense incurred from a service provider by a customer. A first electronic packet having the reimbursement request is received at a coordination system. The reimbursement request includes an identification of the customer, an identification of a reimbursement-account provider, and a reimbursement amount. A second electronic packet is transmitted from the coordination system to a provider platform maintained by or on behalf of the reimbursement-account provider. The second electronic packet includes the identification of the customer, the reimbursement amount, and information related to a service provided for the customer by the service provider. A third electronic packet is received from the provider platform at the coordination system. The third electronic packet comprises an approval of the reimbursement request. Instructions are issued with the coordination system to effect payment for the service by the reimbursement-account provider.

Description

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Claims

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Application Information

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Owner FIDELITY INFORMATION SERVICES LLC
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