Accenture Global Services Gmbh

Michael S Irish

Zhu-Song Mei

Dmitriy Feferman

Rayid Ghani

David H Kil

Ajay Kurian Easo

Leana Rachelle Wallace

Nicholas Francisco Howell

Kevin P Lee

Lindsey J Lizardi

Laura J Jantzen

Surya P Kolluri

Heather E Nelson

Mohit Kumar

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.

Claims analytics engine

The hierarchical relationships between objects in different levels of an object structure (such as a contract) are stored as elements in two-dimensional matrix representations. In general, the matrix representations facilitate queries, clustering of like objects and contracts, and comparisons that identify common objects and contracts.

Analysis of object structures such as benefits and provider contracts

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San Francisco, CA, United States of America

Michael S Irish