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:
Apr. 16, 2024
Filed:
Jun. 26, 2020
Express Scripts Strategic Development, Inc., St. Louis, MO (US);
Morgan J. Finley, St. Louis Park, MN (US);
Garret L. Anderson, Arden Hills, MN (US);
Camille Patel, New York, NY (US);
Michael Nassar, Chicago, IL (US);
Siju Vattakunnumpurath Eugin, Parsippany, NJ (US);
Daniel Owens, Pompton Plains, NJ (US);
Express Scripts Strategic Development, Inc., St. Louis, MO (US);
Abstract
A method for predicting errors in prescription claim data is performed by a claim analysis device. The method includes extracting historical claim features from successfully processed historical claims received from the data warehouse system. The method includes extracting pending claim features from a pending claim. The method includes applying a binarization process on the extracted historical claim features to obtain a binarized training feature set. The method includes applying the binarization process on the extracted pending claim features to obtain a binarized pending feature set. The method includes calculating an aggregate distance between the binarized pending feature set and the binarized training feature set. The method includes identifying the historical claim associated with the least aggregate distance as a predictive historical claim. The method includes transmitting an alert upon determining that a billing attribute of the predictive historical claim fails to match a corresponding billing attribute of the pending claim.