Abstract: The inclusion of computer capability to process Workers' Compensation claims wherein a complexity of administrative rules determine maximum allowable benefits, the processing of which is not feasible for manual processing. The rules are converted to computer computations entered into the computer's memory. A computer process is devised to systematically examine the rules as they apply to a specific billing. In particular, the various modifiers that affect the allowable pay out are determined through this computer processing. Pre-stored information on prior billings for the same injury is considered for further modification of the allowable billing amount.
April 27, 1989
Date of Patent:
January 22, 1991
Western Medical Consultants
Danny L. Johnson, John R. Sollman, Larry A. Harker