Express Scripts, Inc.

Express Scripts Strategic Development, Inc.

Stanislav Samarin

Blayne S Lequeux

Rich Baudisch

Harishkumar Diwan

Clyde E McMurdy

Christopher G Lehmuth

Robert Monzyk

Data threat evaluation systems and methods are described. A data model structure includes a data subset from the plurality of data types that predate a known threat; this third data subset includes data types from both a first data subset and a second data subset. A model schema extracts, from the data subset, data types of the first subset that predicate and indicate the threat, the model schema to produce at least an individualized data threat regression model, a script originator regression model, and a script filler data threat regression model using the extracted data types. The system may use the models back on the data set to identify potential threats. The system can operate to integrate data to predict fraud, waste or abuse.

Data integration and prediction for fraud, waste and abuse

Data threat evaluation systems and methods are described. A data model structure includes a root object query that, when executed, returns a third data subset from the plurality of data types that predate a known threat, the third data subset including data types in both the first data subset and the second data subset; and a model schema to extract, from the third data subset, data types of the first subset that predicate and indicate the threat, the model schema to produce at least an individualized data threat regression model, a script originator regression model, and a script filler data threat regression model using the extracted data types. The system may use the individualized data threat regression model, the script originator regression model, and the script filler data threat regression model back on the data set to identify potential threats. The system can be applied as a fraud, waste or abuse detector.

Generation from data threats and predictive application of the data models

Display screen with a graphical user interface

Growing community of inventors

St. Louis, MO, United States of America

Stanislav Samarin