Invention Grant
- Patent Title: Dynamic claims submission system
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Application No.: US16610860Application Date: 2017-05-16
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Publication No.: US11657402B2Publication Date: 2023-05-23
- Inventor: Theodore Harris , Yue Li , Craig O'Connell , Tatiana Korolevskaya
- Applicant: Visa International Service Association
- Applicant Address: US CA San Francisco
- Assignee: Visa International Service Association
- Current Assignee: Visa International Service Association
- Current Assignee Address: US CA San Francisco
- Agency: Kilpatrick Townsend & Stockton LLP
- International Application: PCT/US2017/032972 2017.05.16
- International Announcement: WO2018/212767A 2018.11.22
- Date entered country: 2019-11-04
- Main IPC: G06Q30/016
- IPC: G06Q30/016 ; G06F16/242 ; G06N20/00 ; G06Q10/10 ; G06F40/205

Abstract:
Embodiments are directed to a method for determining an interview script in a claims submission. The method may comprising receiving data relating to a claim being submitted, which may include claims submission data input by a user, information relating to the user, and one or more features. Data associated with the one or more features may be determined from an artificial intelligence model. A first score based on the data associated with the one or more features and data associated with the information relating to the user may be determined and used to determine an interview script. In one embodiment, questions in the interview script may continue to be provided to the interviewer computer if a continually updated score remains above a predetermined threshold. In another embodiment, the user may be routed to a live interview with a human representative if a continually updated score drops below a predetermined threshold.
Public/Granted literature
- US20210142333A1 DYNAMIC CLAIMS SUBMISSION SYSTEM Public/Granted day:2021-05-13
Information query