Data processing system for accurately calculating a policyholder's discount in a medical insurance plan and a method therefor

A machine-readable medium comprising instructions, which when executed by a machine, cause the machine to perform a method of calculating a discount in a medical insurance plan, the method comprising:

• accessing premiums data regarding the amount of premiums paid by a policyholder of the medical insurance plan for a predetermined period,
• accessing claims data regarding the amount of claims paid by the medical insurance plan to the policyholder for the predetermined period;
• accessing further claims data to determine if there have been any claims submitted by a policyholder which have not yet been paid, and if so to apply a set of rules to each submitted claim which has not been paid to determine if it is likely to be paid, and if the claim is likely to be paid then adding the amount of the claim to the amount of claims already paid for the predetermined period;
• and
• using the data accessed to calculate a discount amount.

A method of calculating a discount in a medical insurance plan, the method comprising:

• accessing premiums data regarding the amount of premiums paid by a policyholder of the medical insurance plan for a predetermined period,
• accessing claims data regarding the amount of claims paid by the medical insurance plan to the policyholder for the predetermined period;
• accessing further claims data to determine if there have been any claims submitted by a policyholder which have not yet been paid, and if so to apply a set of rules to each submitted claim which has not been paid to determine if it is likely to be paid, and if the claim is likely to be paid then adding the amount of the claim to the amount of claims already paid for the predetermined period;
• and
• using the data accessed to calculate a discount amount.