The patent badge is an abbreviated version of the USPTO patent document. The patent badge does contain a link to the full patent document.

The patent badge is an abbreviated version of the USPTO patent document. The patent badge covers the following: Patent number, Date patent was issued, Date patent was filed, Title of the patent, Applicant, Inventor, Assignee, Attorney firm, Primary examiner, Assistant examiner, CPCs, and Abstract. The patent badge does contain a link to the full patent document (in Adobe Acrobat format, aka pdf). To download or print any patent click here.

Date of Patent:
May. 10, 2022

Filed:

Jul. 01, 2021
Applicant:

Pearl Inc., Beverly Hills, CA (US);

Inventors:

Joshua Alexander Tabak, Los Angeles, CA (US);

Adam Michael Wilbert, Los Angeles, CA (US);

Mustafa Alammar, Los Angeles, CA (US);

Rohit Sanjay Annigeri, Los Angeles, CA (US);

Cambron Neil Carter, Los Angeles, CA (US);

Assignee:

Pearl Inc., West Hollywood, CA (US);

Attorney:
Primary Examiner:
Assistant Examiner:
Int. Cl.
CPC ...
G06Q 40/08 (2012.01); G16H 15/00 (2018.01); G16H 30/20 (2018.01); H04N 21/643 (2011.01); H04L 9/32 (2006.01); G06N 20/00 (2019.01); G06F 9/54 (2006.01); G06K 9/62 (2022.01); H04L 67/133 (2022.01);
U.S. Cl.
CPC ...
G06Q 40/08 (2013.01); G06F 9/547 (2013.01); G06K 9/6215 (2013.01); G06N 20/00 (2019.01); G16H 15/00 (2018.01); G16H 30/20 (2018.01); H04L 9/3247 (2013.01); H04L 67/40 (2013.01);
Abstract

Systems and methods are described for automatically identifying fraud, waste or abuse in health insurance claims submitted to insurance companies by healthcare providers. Insurance claim information and at one image associated with the insurance claim may be received, where the image has been submitted by a healthcare provider to an insurance carrier as supporting evidence of a medical service performed by the healthcare provider. The system may generate a digital signature representing the image, then may compare the digital signature generated for the image to previously generated digital signatures of other images that have been submitted in association with other insurance claims. The system may then determine a likelihood that the given insurance claim is associated with fraud, waste or abuse, based in part on whether the digital signature is identical or close to one or more of the previously generated digital signatures.


Find Patent Forward Citations

Tabak, Joshua. (2022). Systems and methods for insurance fraud detection (U.S. Patent No. 11328365). U.S. Patent and Trademark Office. https://idiyas.com/patent/badge/11328365

Data source: USPTO (United States Patent and Trademark Office) public patent records. Weekly synchronization. How IDiyas builds this profile

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