Patent ID: 8150722

Claim:
A computer-implement method for processing claims, comprising: calculating, by a processor associated with a computer, a customer average value for each of a plurality of customers; calculating, by the processor, a group average value; calculating, by the processor, a plurality of values based on the group average value; identifying, at the processor, one of the plurality of values as a threshold value; receiving, at the processor, a claim from a customer; determining, by the processor, if a customer average value associated with the customer is greater than or equal to a threshold value; processing, by the processor, the claim when the customer average value is less than the threshold value; determining, by the processor, if the claim meets one or more predetermined parameters when the customer average value is greater than or equal to the threshold value; processing, by the processor, the claim when the claim meets the one or more predetermined parameters; and forwarding, by the processor, the claim for further investigation when the claim fails to meet the one or more predetermined parameters and the customer average value is greater than or equal to the threshold value.