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1. WO2020061640 - COMPUTER-IMPLEMENTED METHOD OF MANAGING AN INSURANCE CLAIM

Publication Number WO/2020/061640
Publication Date 02.04.2020
International Application No. PCT/AU2019/051045
International Filing Date 27.09.2019
IPC
G06Q 40/08 2012.01
GPHYSICS
06COMPUTING; CALCULATING OR COUNTING
QDATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
40Finance; Insurance; Tax strategies; Processing of corporate or income taxes
08Insurance, e.g. risk analysis or pensions
G16H 40/20 2018.01
GPHYSICS
16INFORMATION AND COMMUNICATION TECHNOLOGY SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
40ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
20for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
CPC
G06F 9/54
GPHYSICS
06COMPUTING; CALCULATING; COUNTING
FELECTRIC DIGITAL DATA PROCESSING
9Arrangements for program control, e.g. control units
06using stored programs, i.e. using an internal store of processing equipment to receive or retain programs
46Multiprogramming arrangements
54Interprogram communication
G06Q 10/10
GPHYSICS
06COMPUTING; CALCULATING; COUNTING
QDATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
10Administration; Management
10Office automation, e.g. computer aided management of electronic mail or groupware
G06Q 40/08
GPHYSICS
06COMPUTING; CALCULATING; COUNTING
QDATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
40Finance; Insurance; Tax strategies; Processing of corporate or income taxes
08Insurance, e.g. risk analysis or pensions
G06Q 50/22
GPHYSICS
06COMPUTING; CALCULATING; COUNTING
QDATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
50Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
10Services
22Social work
Applicants
  • PETSURE (AUSTRALIA) PTY LTD [AU]/[AU]
Inventors
  • YOO, Toby
  • MATHERS, Geoffrey Nigel
  • SANKATA, Kumar
Agents
  • CLARK INTELLECTUAL PROPERTY PTY LD
Priority Data
201890366728.09.2018AU
Publication Language English (EN)
Filing Language English (EN)
Designated States
Title
(EN) COMPUTER-IMPLEMENTED METHOD OF MANAGING AN INSURANCE CLAIM
(FR) PROCÉDÉ IMPLÉMENTÉ PAR ORDINATEUR DE GESTION D'UNE DÉCLARATION D'ASSURANCE
Abstract
(EN)
The present invention is directed to a computer-implemented method of managing an insurance claim which performs the steps of: 1. receiving claim data associated with an insurance claim made under an insurance policy of an insurance provider, the insurance claim being made in respect of treatment of an animal at a veterinary practice; 2. processing the claim data to provide a claim workflow derived from the claim data; 3. electronically submitting an integrated claim workflow to the insurance provider for assessment of the insurance claim under the insurance policy; 4. receiving notification from the insurance provider of a benefit amount to be paid by the insurance provider under the insurance policy for the treatment; 5. electronically informing the veterinary practice of the benefit amount to be paid by the insurance provider to either the veterinary practice or a policy owner of the insurance policy.
(FR)
La présente invention concerne un procédé implémenté par ordinateur de gestion d'une déclaration d'assurance qui réalise les étapes suivantes : 1. la réception de données de déclaration associées à une déclaration d'assurance faite conformément à une police d'assurance d'un assureur, la déclaration d'assurance étant faite en ce qui concerne le traitement d'un animal à un cabinet vétérinaire ; 2. le traitement des données de déclaration pour fournir un flux de travail de déclaration dérivé des données de déclaration ; 3. la soumission électronique d'un flux de travail de déclaration intégré à l'assureur pour l'évaluation de la déclaration d'assurance conformément à la police d'assurance ; 4. la réception d'une notification, à partir de l'assureur, d'un montant d'indemnité à payer par l'assuraeur conformément à la police d'assurance pour le traitement ; 5. la déclaration électronique, au cabinet vétérinaire, de la quantité d'indeminité à payer par l'assureur soit au cabinet vétérinaire soit à un tituilaire de la police d'assurance.
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