This inventor holds 2 USPTO granted patents. Top assignee: Fair Isaac Corporation. Active years: 2010-2014.
Company Filing History:
Years Active: 2010-2014
Title: Andrea L Allmon: Innovator in Healthcare Fraud Detection
Introduction
Andrea L Allmon is a notable inventor based in San Diego, CA, who has made significant contributions to the field of healthcare fraud detection. With a total of 2 patents, Allmon's work focuses on innovative methods to identify inconsistencies in healthcare claims, thereby enhancing the integrity of the healthcare system.
Latest Patents
One of Allmon's latest patents is centered on "Consistency modeling of healthcare claims to detect fraud and abuse." This invention utilizes transaction-based behavioral profiling, where the entity being analyzed is represented by a stream of transactions. The approach assesses inconsistencies in the activities of entities to detect potential fraud and abuse, leveraging service-code information available on each transaction. The concept of inconsistency is based on the observation that certain service codes naturally co-occur more frequently than others. The assessment of activity consistency examines both the overall activity of individual entities and the interactions between multiple entities. Various methods for measuring consistency are proposed, including one inspired by latent semantic analysis, which is commonly used in text analysis. Although the primary focus is on fraud detection in healthcare, the techniques developed are applicable across various industries and for purposes beyond fraud detection.
Career Highlights
Andrea L Allmon is currently employed at Fair Isaac Corporation, a company renowned for its innovative solutions in analytics and decision management. Her work at Fair Isaac Corporation has allowed her to apply her expertise in data mining and predictive modeling to real-world challenges in the healthcare sector.
Collaborations
Throughout her career, Allmon has collaborated with several talented individuals, including Anu Kumar Pathria and Jean De Traversay. These collaborations have further enriched her work and contributed to the development of effective solutions in her field.
Conclusion
Andrea L Allmon stands out as an influential inventor in the realm of healthcare fraud detection. Her innovative patents and contributions to Fair Isaac Corporation highlight her commitment to improving the integrity of healthcare systems.