Automatic communication in warranty processing
Methods and systems for automated claim processing by a processing system. The processing system receives a claim request in a standard electronic exchange format containing claim data corresponding to the claim request and matches the claim data with at least one record in a data conversion table in order to transform the claim request. Using the data extracted from the claim request, the processing system generates a transformed claim request by mapping organizational codes in the claim request to the organizational codes of a receiving organization. The processing system processes the transformed claim request, generates a claim confirmation, and modifies the claim confirmation by mapping the receiving organization's claim number in the claim confirmation against the data conversion table. Finally, the processing system sends out the modified claim confirmation in a second standard electronic exchange format.
1 . A method for automated processing of data generated by a computer with a data transformation program, the transformation program having a plurality of data tables, at least a first data table having a plurality of records mapping a first organizational structure to a second organizational structure, comprising:
receiving a claim request in a standard electronic exchange format containing claim data corresponding to the claim request, wherein the claim data utilizes the first organizational structure;
matching the claim data with at least one record in the first data table such that the record maps the first organizational structure to the second organizational structure;
transforming the claim request based on the claim data and the record in the data table such that the transformed claim request corresponds to the second organizational structure;
processing the transformed claim request; and
generating a claim confirmation based on the processing.
2 . The method of claim 1 , further comprising:
modifying the claim confirmation based on the data tables such that the modified claim confirmation corresponds to the first organizational structure; and
sending the updated claim confirmation in a second standard electronic exchange format.
3 . The method of claim 1 , further comprising:
sending the claim confirmation in a second standard electronic exchange format; and
updating the claim request based on the claim confirmation and the data tables.
4 . A method for automated processing of data generated by a computer with a data transformation program, the transformation program having a plurality of data tables, at least a first data table having a plurality of records mapping a first organizational structure to a second organizational structure, comprising:
creating a claim request containing claim data corresponding to the claim request, wherein the claim data utilizes the first organizational structure;
matching the claim data with at least one record in the first data table such that the record maps the first organizational structure to the second organizational structure;
transforming the claim request based on the claim data and the record in the first data table such that the transformed claim request corresponds to the second organizational structure;
sending the transformed claim request in a standard electronic exchange format; and
receiving a claim confirmation for the transformed claim request in a second standard electronic exchange format.
5 . The method of claim 4 , further comprising:
modifying the claim confirmation based on the data tables such that the modified claim confirmation corresponds to the first organizational structure; and
updating the claim request based on the modified claim confirmation.
6 . The method of claim 4 , further comprising:
updating the claim request based on the claim confirmation and the data tables.
7 . An apparatus for automated processing of data generated by a computer with a data transformation program, the transformation program having a plurality of data tables, at least a first data table having a plurality of records mapping a first organizational structure to a second organizational structure, comprising:
an input component for receiving a claim request data; and
a processor including an automated processing module, wherein the automated processing module receives a claim request in a standard electronic exchange format containing claim data corresponding to the claim request and the claim data utilizes the first organizational structure, matches the claim data with at least one record in the first data table such that the record maps the first organizational structure to the second organizational structure, transforms the claim request based on the claim data and the record in the data table such that the transformed claim request corresponds to the second organizational structure, processes the transformed claim request; and generates a claim confirmation based on the processing.
8 . The apparatus of claim 7 , wherein the automated processing module further modifies the claim confirmation based on the data tables such that the modified claim confirmation corresponds to the first organizational structure and sends the updated claim confirmation in a second standard electronic exchange format.
9 . The apparatus of claim 7 , wherein the automated processing module further sends the claim confirmation in a second standard electronic exchange format and updates the claim request based on the claim confirmation and the data tables.
10 . A computer-readable medium including instructions, executable by a processor, for performing a method for automated processing of data generated by a computer with a data transformation program, the transformation program having a plurality of data tables, at least a first data table having a plurality of records mapping a first organizational structure to a second organizational structure, comprising:
receiving a claim request in a standard electronic exchange format containing claim data corresponding to the claim request, wherein the claim data utilizes the first organizational structure;
matching the claim data with at least one record in the first data table such that the record maps the first organizational structure to the second organizational structure;
transforming the claim request based on the claim data and the record in the data table such that the transformed claim request corresponds to the second organizational structure;
processing the transformed claim request; and
generating a claim confirmation based on the processing.
11 . The computer-readable medium of claim 10 , wherein generating further comprises:
modifying the claim confirmation based on the data tables such that the modified claim confirmation corresponds to the first organizational structure; and
sending the updated claim confirmation in a second standard electronic exchange format.
12 . The computer-readable medium of claim 10 , wherein generating further comprises:
sending the claim confirmation in a second standard electronic exchange format; and
updating the claim request based on the claim confirmation and the data tables.