James D Benefiel

US Patent:

20060277128, Dec 7, 2006

Filed:

Jun 7, 2005

Appl. No.:

11/146283

Inventors:

Sudhir Anandarao - Vienna VA, US
James Benefiel - Ashburn VA, US
Fletcher Gill - Rockville MD, US
Sreedhar Potarazu - Potomac MD, US
James Tierney - Potomac Falls VA, US

International Classification:

G06Q 40/00

US Classification:

705035000, 705038000

Abstract:

Data associated with a benefit plan, including enrollment data and claims data, are compared to verify proper payment of claims. Additionally, other information, such as general ledger, employer account information, and employer organizations can be considered. Information can be output to a user, such as a plan administrator, in a form convenient for that user to quickly understand a large amount of information and how that information relates to a business or other entity administering the benefit plan. Various techniques can be used to estimate reserves, and can optionally use a claims lag triangle as input, including a claims lag report method, a earned premium method, and iterative method, and a regression method, for example.

US Patent:

20070094133, Apr 26, 2007

Filed:

Oct 20, 2005

Appl. No.:

11/253803

Inventors:

Sudhir Anandarao - Vienna VA, US
James Benefiel - Ashburn VA, US
Fletcher Gill - Rockville MD, US
Sreedhar Potarazu - Potomac MD, US

International Classification:

G06Q 40/00

US Classification:

705040000

Abstract:

The invention includes receiving a first data set that includes information associated with claims under a benefit plan. The first data set is searched for a first claim from the claims that includes at least one detail in common with a second claim from the claims. A report including the first claim and the second claim is generated. A duplication of a charge for the first claim or a duplication of charge for the second claim included in a vendor invoice received from a vendor is identified. The invention also includes comparing a first electronic data set that includes information associated with claims paid by a vendor to a provider, to a second electronic data set that includes claims included in a vendor invoice to an employer to determine if a claim from the claims included in a vendor invoice has been included in a claim paid to a provider.

US Patent:

20070299698, Dec 27, 2007

Filed:

May 31, 2006

Appl. No.:

11/443457

Inventors:

Sudhir Anandarao - Vienna VA, US
James W. Benefiel - Ashburn VA, US
Sreedhar V. Potarazu - Potomac MD, US

International Classification:

G06Q 40/00

US Classification:

705 4

Abstract:

The invention includes in one embodiment a method including receiving data associated with a health benefits plan of an entity. A report is automatically transmitted to the entity at a predetermined time associated with a repetitive business practice within a benefits cycle of the entity based on the data received. The report is associated with at least one feature of the health benefits plan of the entity. The method can also include receiving data associated with the health benefits plan of the entity associated with a second time interval or second entity, and automatically transmitting a report based on that data to the entity at a second predetermined time associated with the benefits cycle of the entity. The benefits cycle can be for, example, annual, monthly, quarterly, etc.