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 |
US2016342751(A1) |
申请公布日期 |
2016.11.24 |
申请号 |
US201514939973 |
申请日期 |
2015.11.12 |
申请人 |
PokitDok, Inc. |
发明人 |
Alstad Colin Erik;Tanner, JR. Theodore;Gosnell Denise Koessler |
分类号 |
G06F19/00 |
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 wherein each claim record contains data about a claim; a claims processing component that generates a compressed representation of a particular claim in the one of more claims records, the compressed representation having a plurality of nodes which with the particular claim is associated, partitions the compressed representation into one or more neighborhood of nodes and determines, using a classifier, a status of the particular claim, wherein the status is one of denied, overpaid and underpaid. |
地址 |
San Mateo CA US |