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.
Patent No.:
Date of Patent:
Dec. 27, 2022
Filed:
Mar. 12, 2020
Aetna Inc., Hartford, CT (US);
Rajesh Johnson, Phoenix, AZ (US);
Mrinal M. Joglekar, Woodridge, IL (US);
Jamie L. Potter-Watkins, Phoenix, AZ (US);
Aetna Inc., Hartford, CT (US);
Abstract
A system and method are disclosed for detecting anomalies in input data. The input data can include enrollment information for members of a health insurance product offered by an insurance carrier. A system is configured to process one or more parameters associated with the input data to detect whether an anomaly is indicated in the input data. At least one artificial intelligence algorithm is configured to compare a parameter in the one or more parameters to a range defined by a moving average. When an anomaly is detected, the processing can be paused and manual intervention can be facilitated. When no anomaly is detected, a database is updated based on the input data. In an embodiment, the input data is an ANSI 834 format file that includes a plurality of membership records, and the one or more parameters are derived from statistics related to the membership records.