Abstract: Millions of bodily injury insurance claims are filed yearly to help people who've suffered accidents from work, slip-and-falls, and auto collisions. In processing these claims, insurance companies, TPAs, and law firms routinely hire experts, such as physicians, to conduct independent medical evaluations (IMEs) to assist claims adjusters and attorneys in analyzing the eligibility of claimants for indemnity and medical benefit payments. IMEs typically cost thousands of dollars each. Yet, many are ordered too early, wasting money that could otherwise be used to reduce insurance premiums. To reduce this waste, the inventors devised, among other things, one or more exemplary systems which not only predict the outcomes of IMEs based on claimant medical records and/or or activity data before ordering them, but also presents selected claims and predictions within a graphical user interface that facilitates ordering the IMEs from a list of available physicians.
Type:
Grant
Filed:
September 24, 2021
Date of Patent:
November 1, 2022
Assignee:
Infiniteintel, Inc.
Inventors:
Raquel Emilia Schaps, Steven Cade Adams