Data processing: artificial intelligence – Machine learning
Reexamination Certificate
2005-03-02
2010-12-28
Holmes, Michael B. (Department: 2129)
Data processing: artificial intelligence
Machine learning
C705S004000
Reexamination Certificate
active
07860812
ABSTRACT:
Methods and systems for identifying and resolving payment integrity issues are provided. Analytic techniques that may include a query component, an artificial intelligence engine, and a text mining component are integrated into a payment integrity system. One or more of the analysis components provide information from a source transaction system to an audit module. The audit module utilizes the outputs from the analysis components to resolve whether or not a claim payment was overpaid or underpaid. The audit module may subsequently instruct one of the analysis components to further analyze information from the source transaction system in accordance with previously provided information from another analysis component.
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Hartley Michael Scott
Henning Lisa Marie
Howell Nicholas Francisco
Mathur Sanjay
Wallace Leana Rachelle
Accenture Global Services Limited
Holmes Michael B.
Kim David H
Mannava & Kang P.C.
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