公开(公告)号：US20230317281A1

公开(公告)日：2023-10-05

申请号：US17712346

申请日：2022-04-04

Applicant: Express Scripts Strategic Development, Inc.

Inventor： Kristin A. Biedinger ,  Randy L. Canis

IPC: G16H50/20 ,  G16H10/60 ,  G16H40/67

CPC classification number: G16H50/20 ,  G16H10/60 ,  G16H40/67

Abstract: Targeted medical intervention system comprises a processor that performs operations comprising selecting target user and generating targeted subset from population of users. To generate the targeted subset, the processor, compares each of the medical claim histories of the population of users to the target medical claim history based on similarity, frequency, and recency; generates a similarity score, a frequency score, and a recency score for each of the plurality of users; and selects the users to be included in the targeted subset based on the similarity score, the frequency score, and the recency score. The processor then monitors, for a period of time, the target medical claim history in comparison with medical claim histories to detect an anomaly in the target medical claim history; and causes an electronic communication to be displayed by a client device that comprises initiation of an intervention to be performed. Other embodiments are disclosed herein.