AUTOMATED REIMBURSEMENT INTERACTIONS
A computerized reimbursement system including at least one reimbursement-enabled mobile communicator having computerized memory functionality, computerized communications functionality and wireless payment functionality and at least one reimbursement-enabled computer server having computerized memory functionality and computerized communications functionality, at least one of the at least one reimbursement-enabled mobile communicator and the at least one reimbursement-enabled computer server storing reimbursement policy parameters which are selectable by a reimbursing party using the system, the reimbursement policy parameters including at least payee location and transaction amount, at least one of the at least one mobile communicator and the at least one computer server being operative to automatically complete payment transactions which are compliant with the reimbursement policy parameters and to automatically reject payment transactions which are not compliant with the reimbursement policy parameters.
The present application is a continuation-in-part of U.S. patent application Ser. No. 12/949,367, filed Nov. 18, 2010 and entitled AUTOMATED INSURER INSURED INTERACTIONS, the disclosure of which is hereby incorporated by reference.
FIELD OF THE INVENTIONThe present invention relates to systems and methodologies for automated reimbursement interactions.
BACKGROUND OF THE INVENTIONThe following publications are believed to represent the current state of the art:
MPP Power Text2Insure Text Messaging Travel Insurance Service, MPP Global Solutions, dated Sep. 24, 2010;
U.S. Pat. Nos. 4,491,725; 4,858,121; 5,235,507; 5,359,509; 6,208,973; 6,343,310; 6,609,200; 6,823,075; 6,941,363; 7,028,012; 7,039,603; 7,236,950; 7,287,071; 7,380,707; 7,434,729; 7,584,125; 7,590,557; 7,698,182; 7,792,686 and 8,066,192;
U.S. Published Patent Application Nos.: 2002/0035529; 2003/0088441; 2003/0187695; 2004/0083123; 2004/0148204; 2005/0015280; 2005/0086075; 2005/0122953; 2005/0228700; 2006/0106650; 2007/0005402; 2007/0129972; 2007/0168234; 2007/0174082; 2008/0228641; 2010/0185534; 2011/0145007 and 2012/023929;
European Published Patent Application Nos.: EP 21168025 and EP 1360632; and
all references cited therein.
SUMMARY OF THE INVENTIONThe present invention seeks to provide improved systems and methodologies for automated reimbursement interactions.
There is thus provided in accordance with a preferred embodiment of the present invention a computerized immediate settlement insurance claim payment system including insurance policy issuing functionality for issuing, by an insurer, an insurance policy to an insured, and associating the policy with a payment-enabled mobile communicator to be carried by the insured and, upon the occurrence of an insured event, to be employed by the insured to cover at least part of the cost of the insured event, the insurance policy including a charge back provision allowing the insurer to charge back payments made to the insured via an identified credit card account of the insured. at least near real time automatic insurance claim verification functionality which is operative to automatically verify the right of the insured to obtain payment from the insurer by automatically verifying at least one of the value of the payment, the type of recipient entitled to receive such payment and the location of the recipient as identified by the mobile communicator, insurance claim documentation requesting functionality operative to request, at the initiative of the insurer, documentation relating to the insured event and chargeback functionality operative to charge back, at the initiative of the insurer, at least part of the payment via the identified credit card account of the insured.
Preferably, the payment-enabled mobile communicator enables at least some medical information regarding the insured to be communicated to a medical service provider. Additionally, the payment-enabled mobile communicator stores the at least some medical information regarding the insured to be communicated to a medical service provider. Alternatively, the payment-enabled mobile communicator communicates the at least some medical information regarding the insured from an external database to the medical service provider.
In accordance with a preferred embodiment of the present invention the payment-enabled mobile communicator provides at least one of recommendations and travel directions to an insured to assist in contacting a medical service provider.
Preferably, the chargeback functionality is operative, in the absence of receipt of the documentation, to charge back the payment via the identified credit card account of the insured. In accordance with a preferred embodiment of the present invention the chargeback functionality is operative, upon receipt of the documentation, to charge back at least part of the payment via the identified credit card account of the insured.
Preferably, the insured authorizes a mobile communication service provider to provide country of origin information relating to the payment-enable mobile communicator to the insurer.
In accordance with a preferred embodiment of the present invention the payment-enabled mobile communicator includes at least two of the following functionalities: insurance policy issuance functionality, payment location verification functionality, medical treatment documentation communication functionality, medical information communication functionality, medical service provider recommendation functionality, medical service provider travel directions functionality, claim eligibility ascertaining functionality, payment level eligibility functionality and claim adjudication functionality. More preferably, the payment-enabled mobile communicator includes at least five of the following functionalities: insurance policy issuance functionality, payment location verification functionality, medical treatment documentation communication functionality, medical information communication functionality, medical service provider recommendation functionality, medical service provider travel directions functionality, claim eligibility ascertaining functionality, payment level eligibility functionality and claim adjudication functionality.
There is also provided in accordance with another preferred embodiment of the present invention a computerized reimbursement system including at least one reimbursement-enabled mobile communicator having computerized memory functionality, computerized communications functionality and wireless payment functionality and at least one reimbursement-enabled computer server having computerized memory functionality and computerized communications functionality, at least one of the at least one reimbursement-enabled mobile communicator and the at least one reimbursement-enabled computer server storing reimbursement policy parameters which are selectable by a reimbursing party using the system, the reimbursement policy parameters including at least payee location and transaction amount, at least one of the at least one mobile communicator and the at least one computer server being operative to automatically complete payment transactions which are compliant with the reimbursement policy parameters and to automatically reject payment transactions which are not compliant with the reimbursement policy parameters.
Preferably, the at least one computer server is operative to seek repayment of at least a portion of a payment already made which fails to satisfy certain criteria. In accordance with a preferred embodiment of the present invention the at least one reimbursement-enabled mobile communicator is utilized by an employee of the reimbursing party and the repayment includes deducting the at least a portion of a payment from wages of the employee.
Preferably, the criteria include providing documentation relating to the payment transaction.
In accordance with a preferred embodiment of the present invention the policy parameters include at least one single transaction maximum payment amount. Additionally or alternatively, the policy parameters include at least one trip duration maximum payment amount.
Preferably, a mobile communication service provider is authorized to provide country of origin information relating to the payment-enable mobile communicator to the computerized reimbursement system.
In accordance with a preferred embodiment of the present invention the payment-enabled mobile communicator includes at least two of the following functionalities: payment location verification functionality, payment documentation communication functionality, product/service provider recommendation functionality, product/service provider travel directions functionality, reimbursement eligibility ascertaining functionality, reimbursement amount eligibility functionality and reimbursement adjudication functionality. More preferably, the payment-enabled mobile communicator includes at least four of the following functionalities: payment location verification functionality, payment documentation communication functionality, product/service provider recommendation functionality, product/service provider travel directions functionality, reimbursement eligibility ascertaining functionality, reimbursement amount eligibility functionality and reimbursement adjudication functionality.
Most preferably, the payment-enabled mobile communicator includes all of the following functionalities: payment location verification functionality, payment documentation communication functionality, product/service provider recommendation functionality, product/service provider travel directions functionality, reimbursement eligibility ascertaining functionality, reimbursement amount eligibility functionality and reimbursement adjudication functionality.
The present invention will be understood and appreciated more fully from the following detailed description, taken in conjunction with the drawings in which:
The embodiments described hereinbelow include various computer implemented functions, some of which may be executed by a server or other computer system and some of which may be executed by a mobile communicator. The present invention preferably includes software implemented modules stored on a tangible medium, such as a readable disk or other storage device, for performing the various functions described hereinbelow. Additionally or alternatively, the functions described hereinbelow may include computer instructions implemented in hardware.
Reference is now made to
The immediate settlement insurance claim payment system also comprises automatic insurance claim verification functionality which, responsive to presentation of the insurance card, is operative to automatically verify the right of the insured to receive payment from the insurer by automatically verifying at least one of the value of the payment, the type of recipient entitled to receive such payment as identified by the card reader and the location of the recipient as identified by the card reader.
The immediate settlement insurance claim payment system also comprises insurance claim documentation requesting functionality operative to request from the insured, at the initiative of the insurer, following paying of the payment, documentation relating to the insured event, and chargeback functionality operative to charge back, at the initiative of the insurer, in the absence of receipt of the documentation, at least part of the payment via the identified credit card of the insured.
As shown in
Upon establishing contact with the insurer, the potential purchaser of travel insurance is prompted for an insurance card identification number and for personal credit card information to pay for the travel insurance. It is appreciated that a potential purchaser of travel insurance may not be in possession of an insurance card when contacting the insurer, and may be provided with an insurance card after purchasing the travel insurance.
Additionally, the potential purchaser of travel insurance is prompted for information pertaining to his future travels, such as dates of travel and destination. Upon providing the requested information, the information is stored in system 100 which provides confirmation of purchase of travel insurance to the purchaser.
It is a particular feature of the present invention that an insurance card. 102, once associated with an insurance contract, preferably serves as a debit card to which reimbursements of expenses incurred by the insured under the coverage provided by the insurance contract are transferred, under the terms of the insurance contract.
Turning now to
Upon ascertaining the insured's presence at the port of departure, a communication system (not shown) which is part of portal 110 notifies self-executing insurance claim payment system 100 of the insured's imminent departure, which causes system 100 to automatically activate the insured's travel insurance. Alternatively, upon ascertaining the insured's presence at the port of departure, the insurer may contact the insured before activating the insured's travel insurance to verify the insured's present medical condition or travel plans. In the absence of mechanisms operative to automatically ascertain the insured's presence at the port of departure, the insured may contact the insurer to report his imminent departure, and to request activation of the insurance.
Turning now to
As shown in
It is a particular feature of the present invention that self-executing insurance claim payment system 100 includes fraud detection functionality which is automatically operative to detect, with a high degree of certainty, fraudulent claims reported to the insurer. This detection may be achieved, for example, by voice analysis techniques or by statistical analysis.
It is another particular feature of the present invention that for claims which system 100 determines, with a high degree of certainty, to be legitimate, system 100 is operative to automatically provide advance funding of expected medical expenses incurred by the insured under the coverage provided by the insurance, based on the reporting by the insured of the medical expense incurred. Preferably, advance funding is automatically transferred by system 100 to the insured's insurance card 102. Alternatively, the advance funding may be provided to the insured, for example, by crediting the insured's credit\debit card, bank account, or any other personal banking or crediting system.
It is yet another particular feature of the present invention that the system 100 requires that credit card details of the insured be provided to serve as a guarantee to be invoked by the system 100 to reimburse the insurer in a case where the insured has received from the insurer compensation for fraudulent or unjustified insurance claims, despite activation of the fraud detection functionality.
It is appreciated that system 100 comprises a knowledge base which facilitates calculation of expected medical expenses, which knowledge base includes accumulated statistics of cost of treatment of a wide range of medical treatments provided in any of a wide range of locales and medical institutions around the world.
Returning now to
Upon checking out of the hospital 120, the insured is charged $435 for the medical treatment he received at the hospital 120, which the insured pays using insurance card 102. It is appreciated that the actual charge of $435 is less than the $500 credited to insurance card 102.
Alternatively, as shown in
Turning now to
Alternatively, as shown in
As shown in
Reference is now made to
Upon establishing contact with the insurer, the potential purchaser of automobile insurance is prompted for an insurance card identification number and for personal credit card information. It is appreciated that a potential purchaser of automobile insurance may not be in possession of an insurance card when contacting the insurer, and may be provided with an insurance card after purchasing the automobile insurance.
Additionally, the potential purchaser of automobile insurance is prompted for information pertaining to the automobile 210 to be insured, such as make and model and identification of designated drivers. Upon providing the requested information, the information is stored in system 200 which provides confirmation of purchase of automobile insurance to the purchaser and activates the automobile insurance.
Turning now to
It is a particular feature of the present invention that self-executing insurance claim payment system 200 includes fraud detection functionality which is automatically operative to detect, with a high degree of certainty, fraudulent claims reported to the insurer. This detection may be achieved, for example by voice analysis techniques or by statistical analysis.
It is another particular feature of the present invention that for claims which system 200 determines, with a high degree of certainty, to be legitimate, system 200 is operative to automatically provide advance funding of expected expenses incurred by the insured under the coverage provided by the insurance, based on the reporting by the insured of the expense incurred. Preferably, advance funding is automatically transferred by system 200 to the insured's insurance card 202. Alternatively, the advance funding may be provided to the insured, for example, by crediting the insured's credit\debit card, bank account, or any other personal banking or crediting system.
It is yet another particular feature of the present invention that the system 200 requires that credit card details of the insured be provided to serve as a guarantee to be invoked by the system 200 to reimburse the insurer in a case where the insured has received from the insurer compensation for fraudulent or unjustified insurance claims, despite activation of the fraud detection functionality.
It is appreciated that system 200 comprises a knowledge base which facilitates calculation of expected automobile repair expenses, which knowledge base includes accumulated statistics of cost of a wide range of automobile repairs provided in any of a wide range of locales.
Returning now to
Upon checking out of the garage 220, the insured is charged $875 for the repairs done at the garage 220, which the insured pays using insurance card 202. It is appreciated that the actual charge of $875 is less than the $1000 credited to insurance card 202.
Alternatively, as shown in
Turning now to
Alternatively, as shown in
As shown in
Reference is now made to
The system, upon ascertaining with a high degree of certainty that the insured's claim is not fraudulent, forwards the estimated cost of resolving the insured event to the insured. The insured uses the forwarded funds to pay a service provider for services received to resolve the insured event. Upon providing, by the insured, documentation and details of the cost of services provided to the insured, the insurer utilizes the documentation to ascertain that the insured's claim is legitimate and not fraudulent. The insurer then collects the difference between the sum previously forwarded to the insured's insurance card and the actual cost of service as paid by the insured, from the insured insurance card. If the insured does not provide relevant documentation within a reasonable timeframe, or if the documentation is not sufficient to prove the legitimacy of the insured's claim, the insurer invokes the guarantee and charges the insured's credit card for the amount previously forwarded.
Reference is now made to
Reference is now made to
The communicator may additionally be used to store or access remotely stored information relating to the insured, such as, for example, the insured's medical history, the insured's insurance history and other information provided by the insured or accessible from remote databases.
The insurance policy preferably includes a charge back provision allowing the insurer to charge back payments made to the insured via an identified credit card account of the insured.
The immediate settlement insurance claim payment system also comprises automatic insurance claim verification functionality which, responsive to the above communications, is operative to automatically verify the right of the insured or the service provider to receive payment from the insurer by automatically verifying at least one of the identity of the insured, the entitlement of the insured to services to he paid by the insurer based, inter alia, on the personal information of the insured which is stored on the communicator or accessible using the communicator, the value of the payment to be made by the insurer, the location of the service provider and other information relating to the service provider.
The immediate settlement insurance claim payment system preferably also comprises insurance claim documentation requesting functionality operative to request from the insured, at the initiative of the insurer, prior to, concurrently with or following the payment, documentation relating to the insured event, and chargeback functionality operative to charge back, at the initiative of the insurer, in the absence of receipt of the documentation, at least part of the payment via the identified credit card account of the insured.
As shown in
The travel insurance policy may be paid for by using the payment-enabled mobile communicator 400 in a conventional manner using the purchaser's credit card account. It is appreciated that the contact with the insurer may be via the payment-enabled mobile communicator 400, as shown in
Upon establishing contact with the insurer, the potential purchaser of travel insurance is prompted to provide his credit card account information to pay for the travel insurance. This may be done seamlessly when using a payment-enabled mobile communicator 400.
In the case of medical insurance, the potential purchaser is preferably prompted to upload his medical history. This medical history may be uploaded manually by the potential purchaser but more preferably is downloaded directly either to the payment-enabled mobile communicator 400 or to an insurer's secure server 406 from a repository 408 which maintains this information, in response to entry of an appropriate password or passwords. It is appreciated that the personal information regarding the insured is stored, whether on the mobile communicator 400 or on the insurer's secure server 406, using appropriate password safeguards, which may be multi-level password safeguards depending on the sensitivity of the information.
Additionally, the potential purchaser of travel insurance may be prompted for information pertaining to his future travels, such as dates of travel and destination. Upon providing the requested information, the information is stored in system 402, which provides confirmation of purchase of travel insurance to the purchaser.
It is a particular feature of the present invention that the mobile communicator 400, once associated with an insurance contract, preferably serves as a debit card to which reimbursements of expenses incurred by the insured under the coverage provided by the insurance contract are transferred, under the terms of the insurance contract.
Turning now to
Upon ascertaining the insured's presence at the port of departure, a communication system 422 notifies self-executing insurance claim payment system 402 of the insured's imminent departure, which causes system 402 to automatically activate the insured's travel insurance. Alternatively, upon ascertaining the insured's presence at the port of departure, the insurer may contact the insured, preferably using the insured's mobile communicator 400, before activating the insured's travel insurance to verify the insured's present medical condition or travel plans. In the absence of mechanisms operative to automatically ascertain the insured's presence at the port of departure, the insured may contact the insurer, preferably using the insured's mobile communicator 400, to report his imminent departure, and to request activation of the insurance. As a further alternative, activation may take place automatically at a date and time selected by the insured.
Turning now to
Preferably, the insured's personal information including his medical and insurance history is divided into a plurality of different categories, each having its own different level of security, such as:
-
- a. Basic personal information, such as name, address, contact telephone numbers, languages spoken, photograph, height, weight and known drug allergies;
- b. Allergies, history of illnesses and treatments, emergency contact details; and
- c. Genetic characteristics and family history.
It is also appreciated that information, such as medical histories of multiple insured persons, such as members of a family travelling together, may be stored or accessible using a single mobile communicator 400. Furthermore, the insured information may be stored on or accessible using multiple mobile communicators 400, which may be carried by a single insured or by members of his family. It is appreciated that the system 402 may provide, via the insured's mobile communicator 400, contact details and directions to the insured as to preferred service providers and may additionally automatically make an appointment for treatment of the insured by a preferred service provider in the vicinity of the insured.
As shown in
The insured may be prompted to provide personal credit card account details for a guarantee if the funding is found to be unjustified.
It is a particular feature of the present invention that self-executing insurance claim payment system 402 includes fraud detection functionality which is automatically operative to detect, with a high degree of certainty, fraudulent claims reported to the insurer. This detection may be achieved, for example, by voice analysis techniques, by statistical analysis or by cross checks employing, inter alia, the insured's medical history and insurance claim history which may be stored on the insured's mobile communicator or accessed thereby.
It is another particular feature of the present invention that for claims which system 402 determines, with a high degree of certainty, to be legitimate, system 402 is operative to automatically provide advance or real time funding of expected or actual medical expenses incurred by the insured under the coverage provided by the insurance policy, based on the reporting by the insured or the service provider of the medical expense incurred. Preferably, advance funding is automatically transferred by system 402 to credit card or debit card payment functionality of the insured's mobile communicator 400. Alternatively, the funding may be provided to the insured, for example, by crediting the insured's or the service provider's credit\debit card account, bank account, or any other personal banking or crediting system.
It is yet another particular feature of the present invention that the system 402 requires that credit card account details of the insured be provided to serve as a guarantee to be invoked by the system 402 to reimburse the insurer in a case where the insured has received from the insurer compensation for fraudulent or unjustified insurance claims, notwithstanding activation of the fraud detection functionality.
It is appreciated that system 402 comprises a knowledge base which facilitates calculation of expected medical expenses, which knowledge base includes accumulated statistics of cost of treatment of a wide range of medical treatments provided in any of a wide range of locales and medical institutions around the world.
Returning now to
Upon checking out of the hospital, the insured is charged $435 for the actual cost of the medical treatment he received at the hospital, which the insured pays using the credit card or debit card payment functionality of insured's mobile communicator 400. It is appreciated that the actual charge of $435 is less than the $500 credited to credit card or debit card payment functionality of insured's mobile communicator 400.
Alternatively, as shown in
Turning now to
Alternatively, as shown in
As shown in
It is appreciated that all of the foregoing may be achieved without there taking place any human voice telephone conversation involving either the insured or a representative of the insurer. It is further appreciated that at any suitable stage, either the insured or the insurer may elect to initiate a personal human to human telephone interaction, preferably using the insured's mobile communicator 400.
It is additionally appreciated that mobile communicators which have been specifically programmed with applications to carry out the foregoing functionalities may be provided to insured persons, who can use them instead of or in addition to their own mobile communicators for some or all of the above-described functions.
Additionally, the system 402 may provide automatic warnings to the insured or to other appropriate parties regarding overuse of certain medicines or the use of dangerous combinations of medicines, as well as reminders to update or refresh prescriptions.
It is appreciated that the system and methodology described hereinabove with reference to
Reference is now made to
As discussed hereinabove with reference to
-
- Personal information, such as name, address, age or date of birth and passport number;
- Personal medical information, such as medications and allergies to medications;
- Credit card account information to charge the cost of the insurance and any disbursements/reimbursements related to the insurance policy;
- Travel information, such as dates of travel and destinations;
- Permission to access medical history; and
- Permission for the mobile communication service provider to provide country of origin information to the insurer.
As discussed hereinabove with reference to
After the occurrence of an insured event which is covered by the insurance, the insured contacts the insurer, typically utilizing the insured's mobile communicator 400, and provides details of the insured event and provides personal credit card account details for guarantee. All of the foregoing is preferably achieved via data communication between a potential purchaser's computer, most preferably his mobile communicator, and a server of the insurer, without real time human intervention on the part of the insurer. An insured event may be any event which the resolution thereof is covered under the terms of the purchased insurance.
The system, upon ascertaining with a sufficiently high degree of certainty that the insured's claim is not fraudulent, forwards the estimated or actual incurred cost of resolving the insured event to the insured, preferably using the insured's mobile communicator 400. The insured uses the forwarded funds to pay a service provider for services received to resolve the insured event. Upon the insured providing documentation and details of the cost of services provided to the insured, the insurer utilizes the documentation to ascertain that the insured's claim is legitimate and not fraudulent. The insurer then collects the difference between the sum previously forwarded to the insured's credit card account and the actual cost of service as paid by the insured, from the insured's credit card account. If the insured does not provide relevant documentation within a reasonable timeframe, or if the documentation is not sufficient to prove the legitimacy of the insured's claim, the insurer invokes the guarantee and charges the insured's credit card account for the amount previously forwarded.
Reference is now made to
The system also comprises automatic reimbursement verification functionality which is operative to automatically verify the right of the authorized user or other payee to receive payment from the reimbursing party by automatically verifying at least one of the location of the payee, the entitlement of the authorized user to purchase products or services based, inter alia, on parameters of a reimbursement policy of the reimbursing party, which are stored on the reimbursement-enabled mobile communicator or accessible using the reimbursement-enabled mobile communicator, and the value of the payment to be made.
The system preferably also comprises reimbursement documentation requesting functionality operative to request from the authorized user, at the initiative of the reimbursing party, prior to or following payment, documentation relating to a payment, and chargeback functionality operative to charge back to the authorized user, at the initiative of the reimbursing party, in the absence of receipt of acceptable documentation or under other appropriate circumstances, at least part of the payment.
As shown in
Alternatively, the employer representative may enable a mobile communicator of the authorized user to be enabled for reimbursement by the computerized reimbursement system, such as by downloading a suitable application to the mobile communicator of the authorized user. In this alternative embodiment, the application preferably requests that the user grant permission for the mobile communication service provider to provide country of origin information to the computerized reimbursement system. Additionally or alternatively, country of origin information is provided to the computerized reimbursement system by product and service providers processing transactions utilizing reimbursement-enabled mobile communicator 600.
Additionally, reimbursement-enabled mobile communicator 600 may also include functionality to recommend preferred product and service providers and to provide travel directions thereto.
As seen in
Turning now to
Upon review of the processed transactions, the reimbursing party may employ the computerized reimbursement system to charge back to the authorized user at least a portion of the payment. It is appreciated that when the authorized user is an employee of the reimbursing party, the charge back may be implemented by automatically deducting the at least a portion of the payment from the employee's wages, as seen in
Thus, in the illustrated example shown in
Reference is now made to
As seen in
The reimbursing party, such as an employer, provides a reimbursement-enabled mobile communicator to an authorized user, such as an employee about to leave on a business trip.
The authorized user may then use the reimbursement-enabled mobile communicator to pay for products and/or services.
As seen in
For example, as seen in
For example, as seen in
In another example, seen in
In another example, seen in
In another example, seen in
As seen further in
It is appreciated that in the case Where the authorized user is an employee, the charge back may be implemented by automatically deducting the at least a portion of the payment from the employee's wages, as seen further in
It is also appreciated that the computerized reimbursement system may be operative to provide to the reimbursing party an output, based on the reimbursement policy parameters, indicating questionable processed transactions that need to be reviewed, as seen in
As seen further in
Thus, for example, for the transaction illustrated in
Similarly, for the transaction illustrated in
It will be appreciated by persons skilled in the art that the present invention is not limited by what has been particularly shown and described hereinabove. Rather the scope of the present invention includes both combinations and subcombinations of the various features described hereinabove as well as modifications thereof which would occur to persons skilled in the art upon reading the foregoing description and which are not in the prior art.
Claims
1. A computerized immediate settlement insurance claim payment system comprising:
- insurance policy issuing functionality for issuing, by an insurer, an insurance policy to an insured, and associating said policy with a payment-enabled mobile communicator to be carried by said insured and, upon the occurrence of an insured event, to be employed by said insured to cover at least part of the cost of said insured event, said insurance policy including a charge back provision allowing said insurer to charge back payments made to said insured via an identified credit card account of said insured;
- at least near real time automatic insurance claim verification functionality which is operative to automatically verify the right of said insured to obtain payment from said insurer by automatically verifying at least one of the value of said payment, the type of recipient entitled to receive such payment and the location of said recipient as identified by said mobile communicator;
- insurance claim documentation requesting functionality operative to request, at the initiative of said insurer, documentation relating to said insured event; and
- chargeback functionality operative to charge back, at the initiative of said insurer, at least part of said payment via said identified credit card account of said insured.
2. A computerized immediate settlement insurance claim payment system according to claim 1 and wherein said payment-enabled mobile communicator enables at least some medical information regarding the insured to be communicated to a medical service provider.
3. A computerized immediate settlement insurance claim payment system according to claim 2 and wherein said payment-enabled mobile communicator stores said at least some medical information regarding the insured to be communicated to a medical service provider.
4. A computerized immediate settlement insurance claim payment system according to claim 2 and wherein said payment-enabled mobile communicator communicates said at least some medical information regarding the insured from an external database to said medical service provider.
5. A computerized immediate settlement insurance claim payment system according to claim 1 and wherein said payment-enabled mobile communicator provides at least one of recommendations and travel directions to an insured to assist him in contacting a medical service provider.
6. A computerized immediate settlement insurance claim payment system according to claim 1 and wherein said chargeback functionality is operative, in the absence of receipt of said documentation, to charge back said payment via said identified credit card account of said insured.
7. A computerized immediate settlement insurance claim payment system according to claim 1 and wherein said chargeback functionality is operative, upon receipt of said documentation, to charge back at least part of said payment via said identified credit card account of said insured.
8. A computerized immediate settlement insurance claim payment system according to claim 1 and wherein said insured authorizes a mobile communication service provider to provide country of origin information relating to said payment-enable mobile communicator to said insurer.
9. A computerized immediate settlement insurance claim payment system according to claim 1 and wherein said payment-enabled mobile communicator includes at least two of the following functionalities:
- insurance policy issuance functionality;
- payment location verification functionality;
- medical treatment documentation communication functionality;
- medical information communication functionality;
- medical service provider recommendation functionality;
- medical service provider travel directions functionality;
- claim eligibility ascertaining functionality;
- payment level eligibility functionality; and
- claim adjudication functionality.
10. A computerized immediate settlement insurance claim payment system according to claim 1 and wherein said payment-enabled mobile communicator includes at least five of the following functionalities:
- insurance policy issuance functionality;
- payment location verification functionality;
- medical treatment documentation communication functionality;
- medical information communication functionality;
- medical service provider recommendation functionality;
- medical service provider travel directions functionality;
- claim eligibility ascertaining functionality;
- payment level eligibility functionality; and
- claim adjudication functionality.
11. A computerized reimbursement system comprising:
- at least one reimbursement-enabled mobile communicator having computerized memory functionality, computerized communications functionality and wireless payment functionality; and
- at least one reimbursement-enabled computer server having computerized memory functionality and computerized communications functionality,
- at least one of said at least one reimbursement-enabled mobile communicator and said at least one reimbursement-enabled computer server storing reimbursement policy parameters which are selectable by a reimbursing party using the system, said reimbursement policy parameters including at least payee location and transaction amount;
- at least one of said at least one mobile communicator and said at least one computer server being operative to automatically complete payment transactions which are compliant with said reimbursement policy parameters and to automatically reject payment transactions which are not compliant with said reimbursement policy parameters.
12. A computerized reimbursement system according to claim 11 and wherein said at least one computer server is operative to seek repayment of at least a portion of a payment already made which fails to satisfy certain criteria.
13. A computerized reimbursement system according to claim 12 and wherein:
- said at least one reimbursement-enabled mobile communicator is utilized by an employee of said reimbursing party; and
- said repayment includes deducting said at least a portion of a payment from wages of said employee.
14. A computerized reimbursement system according to claim 12 and wherein said criteria include providing documentation relating to said payment transaction.
15. A computerized reimbursement system according to claim 11 and wherein said policy parameters include at least one single transaction maximum payment amount.
16. A computerized reimbursement system according to claim 11 and wherein said policy parameters include at least one trip duration maximum payment amount.
17. A computerized reimbursement system according to claim 11 and wherein a mobile communication service provider is authorized to provide country of origin information relating to said payment-enable mobile communicator to said computerized reimbursement system.
18. A computerized reimbursement system according to claim 11 and wherein said payment-enabled mobile communicator includes at least two of the following functionalities:
- payment location verification functionality;
- payment documentation communication functionality;
- product/service provider recommendation functionality;
- product/service provider travel directions functionality;
- reimbursement eligibility ascertaining functionality;
- reimbursement amount eligibility functionality; and
- reimbursement adjudication functionality.
19. A computerized reimbursement system according to claim 11 and wherein said payment-enabled mobile communicator includes at least four of the following functionalities:
- payment location verification functionality;
- payment documentation communication functionality;
- product/service provider recommendation functionality;
- product/service provider travel directions functionality;
- reimbursement eligibility ascertaining functionality;
- reimbursement amount eligibility functionality; and
- reimbursement adjudication functionality.
20. A computerized reimbursement system according to claim 11 and wherein said payment-enabled mobile communicator includes all of the following functionalities:
- payment location verification functionality;
- payment documentation communication functionality;
- product/service provider recommendation functionality;
- product/service provider travel directions functionality;
- reimbursement eligibility ascertaining functionality;
- reimbursement amount eligibility functionality; and
- reimbursement adjudication functionality.
Type: Application
Filed: May 23, 2013
Publication Date: Oct 3, 2013
Applicant: DAVIDSHIELD L.I.A. (2000) LTD. (Netanya)
Inventor: Alon KETZEF (Bnei Dror)
Application Number: 13/900,919
International Classification: G06Q 40/08 (20060101);