Automated Insurance Policy Tracking via Real-Time API Verification

Resolve Bottlenecks,
Find Innovative SolutionsGenerate Solutions

Solution Overview

Problem

Current insurance verification processes are inefficient and costly due to reliance on point-in-time documents, leading to compliance challenges, fraud risks, and manual data rekeying, which hinder timely business closures and strategic goals.

Innovation Solution

An automated system enabling real-time digital insurance verification through APIs for electronic information sharing among insurance providers, insureds, and requestors, facilitating continuous policy tracking, instant coverage comparisons, and automated renewals, endorsements, and compliance alerts.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If point-in-time documents are used for insurance verification, then compliance requirements can be met at specific moments, but continuous compliance cannot be maintained and operational costs increase due to repeated requests

Engineering Contradiction:

Improvecompliance maintenanceVSAvoidtime for repeated document requests

Core Design Contradiction:

ReliabilityVSLoss of time

Solution Approach 1:

The patent implements continuous policy information tracking and automatic sharing between insurance providers, insureds, and requestors through digital platforms and APIs. This eliminates the need for repeated document requests by maintaining ongoing, real-time information flow, ensuring compliance is continuously verified rather than checked at discrete intervals.

Inventive Principle:

Principle #20Continuity of useful action

Solution Approach 2:

The patent introduces digital intermediaries including automated systems, APIs, and secure platforms that facilitate continuous information sharing between stakeholders. These intermediaries enable real-time policy data exchange without requiring manual document requests and distribution, maintaining compliance continuously across all parties.

Inventive Principle:

Principle #24Intermediary (Mediator)

2Loss of information

If manual extraction and rekeying of insurance information is performed, then data can be entered into certificate holder management systems, but productivity decreases and errors increase

Engineering Contradiction:

Improveaccuracy of insurance dataVSAvoidspeed of insurance verification

Core Design Contradiction:

Loss of informationVSProductivity

Solution Approach 1:

The patent replaces manual mechanical processes of data extraction, copying, and rekeying with automated electronic systems. Digital platforms automatically extract policy information from source systems and transmit it electronically to certificate holder management systems, eliminating manual intervention entirely and ensuring data accuracy while dramatically increasing processing speed.

Inventive Principle:

Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent implements automated digital copying and transmission of policy information from insurance provider systems to requestor systems. Instead of manual transcription, the system creates and transmits electronic copies of policy data through integrated digital interfaces, ensuring exact replication of source data without human error and instant delivery.

Inventive Principle:

Principle #26Copying

3Reliability

If updated certificates are requested on an ongoing basis, then current insurance information can be obtained, but operational costs increase and workflow efficiency decreases

Engineering Contradiction:

Improvecurrency of insurance informationVSAvoidcomplexity of certificate management

Core Design Contradiction:

ReliabilityVSEase of operation

Solution Approach 1:

The patent implements self-service capabilities where the system automatically generates, updates, and distributes policy information and certificates to all stakeholders without requiring manual requests. The automated system monitors policy status, detects changes, and proactively provides updated information to requestors, eliminating the need for ongoing manual certificate requests and reducing operational complexity.

Inventive Principle:

Principle #25Self-service

Solution Approach 2:

The patent establishes continuous feedback loops where the system automatically monitors policy information, detects changes or expirations, and notifies relevant parties. This feedback mechanism ensures all stakeholders receive current information automatically, maintaining reliability without requiring manual intervention or complex management processes.

Inventive Principle:

Principle #23Feedback

4Reliability

If point-in-time information is used for compliance verification, then snapshots of policy status can be captured, but fraud risks and coverage gaps cannot be detected between updates

Engineering Contradiction:

Improvedetection of coverage issuesVSAvoidtime between compliance updates

Core Design Contradiction:

ReliabilityVSLoss of time

Solution Approach 1:

The patent implements continuous monitoring of policy information through automated systems that track policy status in real-time between traditional update intervals. This continuous action enables detection of coverage changes, expirations, or fraudulent modifications as they occur, rather than only discovering them at discrete update moments, eliminating coverage gaps and reducing fraud detection delays.

Inventive Principle:

Principle #20Continuity of useful action

Data Source

PatentUS11501379B2Automated continuous insurance policy tracking and endorsement management process and system

Publication Date: 2022.11.15 CERTIFICIAL LLC

AI summary

An automated computer-implemented insurance tracking process comprising allowing an insured to select insurance-related information that can be shared with a particular requestor, automatically saving the selected insurance-related information in a computer memory, and automatically providing, to the particular requestor, digital access to the saved information.