Invention Grant
- Patent Title: Machine structured plan description
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Application No.: US16107396Application Date: 2018-08-21
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Publication No.: US10402909B1Publication Date: 2019-09-03
- Inventor: Asif Khalak , Sergio Martinez-Ortuno , Michelle Alicia Gard , Henning Chiv
- Applicant: Collective Health, Inc.
- Applicant Address: US CA San Francisco
- Assignee: Collective Health, Inc.
- Current Assignee: Collective Health, Inc.
- Current Assignee Address: US CA San Francisco
- Agency: Lee & Hayes, P.C.
- Main IPC: G06Q40/00
- IPC: G06Q40/00 ; G06Q40/08 ; G06Q10/10

Abstract:
A plan authoring tool can receive user input describing parameters of benefits of a benefit plan. The plan authoring tool can convert the user input into a machine structured plan description (MSPD) that defines the benefit plan. The MSPD can be used by a plan documentation generator to generate one or more plan documents that explain the benefits and/or indicate how to manually adjudicate claims submitted in association with the benefit plan. The MSPD can also be used to automatically adjudicate claims. Plan analysis tools can be used to evaluate an MSPD to validate a new or edited benefit plan and/or provide user feedback on the benefit plan so that users, if desired, can revise the MSPD via the plan authoring tool.
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