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1. 发明申请

US20090157433A1 System and method having a hierarchical model with override capability for generating a flexible insurance plan 有权
标题翻译：具有分层模型的系统和方法具有用于产生灵活保险计划的超能力
公开(公告)号：US20090157433A1
公开(公告)日：2009-06-18
申请号：US11896281
申请日：2007-08-30
申请人： Mike Schmidt , Darren Willson-Rymer , Scott J. Sievert , Jane Goguen , Ron Reynolds
发明人： Mike Schmidt , Darren Willson-Rymer , Scott J. Sievert , Jane Goguen , Ron Reynolds
IPC分类号： G06Q40/00 , G06N5/02
CPC分类号： G06Q40/08
摘要： A system and method for implementing an insurance plan to coordinate an adjudication of a submitted claim corresponding to the plan. The plan includes a people model and a benefit model, such as hierarchical trees combined by a plurality of policies. The system and method comprise assigning a first predefined inheritance of global attributes to coupled elements of the people tree and assigning a second predefined inheritance of global attributes to coupled elements of the benefits tree. The system and method also assigning a local administration rule for at least one local attribute of the trees, the assignment between a selected people element of the people tree and a selected benefit element of the benefits tree. The local administration rule overrides the corresponding global attributes of the selected elements, such that resolution of the global attributes with the local attributes for the selected elements provides a rule set for adjudication of the submitted claim.
摘要翻译：一种执行保险计划以协调与该计划相对应的提交的索赔的裁决的制度和方法。该计划包括一个人模型和一个效益模型，例如由多个策略组合的分层树。该系统和方法包括将全局属性的第一预定继承分配给人树的耦合元素，并将全局属性的第二预定义继承分配给利益树的耦合元素。所述系统和方法还为所述树的至少一个局部属性分配本地管理规则，所述人树的所选择的人元素与所述利益树的选定利益元素之间的分配。本地管理规则将覆盖所选元素的相应全局属性，以便使用所选元素的本地属性对全局属性的解析提供了用于裁决提交的权限的规则集。

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