METHOD AND SYSTEM FOR VALIDATION OF CLAIMS AGAINST POLICY WITH CONTEXTUALIZED SEMANTIC INTEROPERABILITY

摘要

A method and system is provided for validating claim submissions against a claim policy that can perform a comparative analysis by comparing structured or unstructured claim submissions to semantically structured policies to direct and optimize processing of the claim submission. A method and system is also provided for enabling semantic interoperability across different proprietary electronic transaction records. Semantic queries and semantic analysis can be performed on a collection of electronic transaction records originating from different proprietary systems.