发明名称 DYNAMIC TOPOLOGICAL SYSTEM AND METHOD FOR EFFICIENT CLAIMS PROCESSING
摘要 A dynamic topological system and method for efficient claims processing are provided. The dynamic topological system and method for efficient claims processing may be used in a healthcare system. The dynamic topological system and method for efficient claims processing is easily extensible, maintainable and extendable.
申请公布号 US2016342750(A1) 申请公布日期 2016.11.24
申请号 US201514715380 申请日期 2015.05.18
申请人 PokitDok, Inc. 发明人 Alstad Colin Erik;Tanner, JR. Theodore;Gosnell Denise Koessler
分类号 G06F19/00;G06Q50/22 主分类号 G06F19/00
代理机构 代理人
主权项 1. A healthcare claims processing apparatus, comprising: a computer system having a processor and a memory; a database associated with the computer system that stores one of more claims records; a claims processing component that generates a compressed representation of the one of more claims records, the compressed representation having a plurality of nodes which with a claim record is associated, partitions the compressed representation into one or more neighborhood of nodes and determines, using a classifier, a status of a particular claim, wherein the status is one of denied, overpaid and underpaid.
地址 San Mateo CA US