Invention Grant
- Patent Title: Claims analytics engine
- Patent Title (中): 索赔分析引擎
-
Application No.: US12547110Application Date: 2009-08-25
-
Publication No.: US08762180B2Publication Date: 2014-06-24
- Inventor: Rayid Ghani , Leana R Wallace , Michael S Irish , Ajay K Easo , Mohit Kumar , Zhu-Song Mei , Dmitriy Feferman , Nicholas F Howell , Lindsey J Lizardi , Laura J Jantzen
- Applicant: Rayid Ghani , Leana R Wallace , Michael S Irish , Ajay K Easo , Mohit Kumar , Zhu-Song Mei , Dmitriy Feferman , Nicholas F Howell , Lindsey J Lizardi , Laura J Jantzen
- Applicant Address: IE Dublin
- Assignee: Accenture Global Services Limited
- Current Assignee: Accenture Global Services Limited
- Current Assignee Address: IE Dublin
- Main IPC: G06Q40/00
- IPC: G06Q40/00

Abstract:
Methods and systems for processing claims (e.g., healthcare insurance claims) are described. For example, prior to payment of an unpaid claim, a prediction is made as to whether or not an attribute specified in the claim is correct. Depending on the prediction results, the claim can be flagged for an audit. Feedback from the audit can be used to update the prediction models in order to refine the accuracy of those models.
Public/Granted literature
- US20110054925A1 CLAIMS ANALYTICS ENGINE Public/Granted day:2011-03-03
Information query