ADMINISTERING CLAIMS INVOLVING LARGE MEMBER GROUPS UTILIZING SPECIFICALLY PROGRAMMED METHODS AND COMPUTER SYSTEMS

1 . A method for claim processing by a claim processing computer system, comprising:

receiving client data comprising a plurality of potential claims, each potential claim initiated by a plurality of claimants;

identifying a first set of potential claims from the plurality of potential claims qualifying for a class based on eligibility criteria;

receiving an update to the eligibility criteria;

identifying a second set of potential claims from the plurality of potential claims qualifying for the class based on the updated eligibility criteria; and

calculating a settlement distribution difference between the first set of potential claims and the second set of potential claims.

2 . The method of claim 1 , wherein the plurality of potential claims lack information for distributing compensation when a claimant submits a claim for adjudication.

3 . The method of claim 1 , further comprising identifying the second set of potential claims based on historical data corresponding to the plurality of potential claims.

4 . The method of claim 1 , wherein a time difference between receiving the update and calculating the settlement distribution is less than a threshold.

5 . The method of claim 1 , further comprising:

receiving a plurality of claim submissions related to the plurality of potential claims;

adjudicating the plurality of claim submissions to determine a plurality of eligible claims; and

determining a pro-rata distribution among the plurality of eligible claims.

6 . The method of claim 5 , further comprising assigning a distribution priority among the plurality of eligible claims.

7 . The method of claim 5 , further comprising:

receiving a plurality of correspondence related to the plurality of claim submissions;

associating each of the plurality of correspondence with a claim submission of the plurality of claim submissions.

8 . The method of claim 7 , further comprising generating an audit trial for the associated correspondences.

9 . The method of claim 1 , further comprising:

identifying at least one of duplicate claims and duplicate transactions within a claim;

matching transactions; and

determining out-of-balance transactions.

10 . An apparatus, comprising:

a memory; and

at least one processor coupled to the memory, the at least one processor configured:

to receive client data comprising a plurality of potential claims, each potential claim initiated by a plurality of claimants;

to identify a first set of potential claims from the plurality of potential claims qualifying for a class based on eligibility criteria;

to receive an update to the eligibility criteria;

to identify a second set of potential claims from the plurality of potential claims qualifying for the class based on the updated eligibility criteria; and

to calculate a settlement distribution difference between the first set of potential claims and the second set of potential claims.

11 . The apparatus of claim 10 , wherein the plurality of potential claims lack information for distributing compensation when a claimant submits a claim for adjudication.

12 . The apparatus of claim 10 , wherein the at least one processor is further configured to identify the second set of potential claims based on historical data corresponding to the plurality of potential claims.

13 . The apparatus of claim 10 , wherein a time difference between receiving the update and calculating the settlement distribution is less than a threshold.

14 . The apparatus of claim 10 , wherein the at least one processor is further configured:

to receive a plurality of claim submissions related to the plurality of potential claims;

to adjudicate the plurality of claim submissions to determine a plurality of eligible claims; and

to determine a pro-rata distribution among the plurality of eligible claims.

15 . The apparatus of claim 14 , wherein the at least one processor is further configured to assign a distribution priority among the plurality of eligible claims.

16 . The apparatus of claim 14 , wherein the at least one processor is further configured:

to receive a plurality of correspondence related to the plurality of claim submissions;

to associate each of the plurality of correspondence with a claim submission of the plurality of claim submissions.

17 . The apparatus of claim 16 , wherein the at least one processor is further configured to generate an audit trial for the associated correspondences.

18 . The apparatus of claim 10 , wherein the at least one processor is further configured:

to identify at least one of duplicate claims and duplicate transactions within a claim;

to match transactions; and

to determine out-of-balance transactions.

19 . A non-transitory computer-readable medium having program code recorded thereon, the program code executed by a processor and comprising:

program code to receive client data comprising a plurality of potential claims, each potential claim initiated by a plurality of claimants;

program code to identify a first set of potential claims from the plurality of potential claims qualifying for a class based on eligibility criteria;

program code to receive an update to the eligibility criteria;

program code to identify a second set of potential claims from the plurality of potential claims qualifying for the class based on the updated eligibility criteria; and

program code to calculate a settlement distribution difference between the first set of potential claims and the second set of potential claims.