Methods, Systems, and Servers for Processing Health Insurance Claims

A system for processing a health insurance claim, the system comprising:

• a processor;
• a non-transitory memory coupled to the processor;
• first logic stored in the memory and executable by the processor to cause the processor to receive a health insurance claim submitted to an insurance claims processing system by and/or on behalf of a consumer through a point of sale and/or a system coupled therewith;
• second logic stored in the memory and executable by the processor to cause the processor to identify the health insurance claim as being eligible for rewards-based processing;
• third logic stored in the memory and executable by the processor to cause the processor to evaluate the health insurance claim responsive to receipt thereof based on data associated with the consumer and/or the health insurance claim and/or the point of sale;
• fourth logic stored in the memory and executable by the processor to cause the processor to determine a dispositive outcome for the health insurance claim, wherein the dispositive outcome comprises rewarding the consumer for exhibiting a desired behavior;
• and
• fifth logic stored in the memory and executable by the processor to cause the processor to implement the dispositive outcome at the point of sale;
• wherein the consumer has a disease state, and wherein the desired behavior comprises monitoring the disease state.

A system for processing a health insurance claim, the system comprising:

• means for receiving an insurance claim submitted to an insurance claims processing system by and/or on behalf of a consumer through a point of sale and/or a system coupled therewith;
• means for identifying the health insurance claim as being eligible for rewards-based processing;
• means for evaluating the health insurance claim responsive to receipt thereof based on data associated with the consumer and/or the health insurance claim and/or the point of sale;
• means for determining a dispositive outcome for the health insurance claim, wherein the dispositive outcome comprises rewarding the consumer for exhibiting a desired behavior;
• and
• means for implementing the dispositive outcome at the point of sale;
• wherein the consumer has a disease state, and wherein the desired behavior comprises monitoring the disease state.

In a non-transitory computer readable storage medium having stored therein data representing instructions executable by a programmed processor for processing a health insurance claim, the storage medium comprising instructions for:

• receiving a health insurance claim submitted to an insurance claims processing system by and/or on behalf of a consumer through a point of sale and/or a system coupled therewith;
• identifying the health insurance claim as being eligible for rewards-based processing;
• evaluating the health insurance claim in response to the receiving based on data associated with the consumer and/or the health insurance claim and/or the point of sale;
• determining a dispositive outcome for the health insurance claim, wherein the dispositive outcome comprises rewarding the consumer for exhibiting a desired behavior;
• and
• implementing the dispositive outcome at the point of sale;
• wherein the consumer has a disease state, and wherein the desired behavior comprises monitoring the disease state.