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:
Jan. 02, 2024

Filed:

Jun. 29, 2021
Applicant:

Akasa, Inc., South San Francisco, CA (US);

Inventors:

Byung-Hak Kim, San Jose, CA (US);

Hariraam Varun Ganapathi, San Francisco, CA (US);

Andrew Atwal, Foster City, CA (US);

Assignee:

AKASA, Inc., South San Francisco, CA (US);

Attorney:
Primary Examiner:
Int. Cl.
CPC ...
G06N 3/08 (2023.01); G06N 3/084 (2023.01); G06Q 40/08 (2012.01); G06F 17/18 (2006.01); G06F 18/24 (2023.01);
U.S. Cl.
CPC ...
G06N 3/084 (2013.01); G06F 17/18 (2013.01); G06F 18/24 (2023.01); G06N 3/08 (2013.01); G06Q 40/08 (2013.01);
Abstract

Embodiments relate to system for automatically predicting payer response to claims. In an embodiment, the system receives claim data associated with a claim. The system identifies a set of claim features of the claim data, and generates an input vector with at least a portion of the set of claim features. The system applies the input vector to a trained model. A first portion of the neural network is configured to generate an embedding representing the input vector with a lower dimensionality than the input vector. A second portion of the neural network is configured to generate a prediction of whether the claim will be denied based on the embedding. The system provides the prediction for display on a user interface of a user device. The prediction may further include denial reason codes and a response date estimation to indicate if, when, and why a claim will be denied.


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