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. 28, 2025

Filed:

Jan. 04, 2022
Applicant:

Experian Health, Inc., Franklin, TN (US);

Inventors:

Johnathan P. Menard, Hamden, CT (US);

Robert J. Stucker, Las Vegas, NV (US);

Elsie E. Henry, Wilkes Barre, PA (US);

Ali Saffari, Diamond Bar, CA (US);

John R. Bush, Naperville, IL (US);

Robert P. Hattori, Davis, CA (US);

Harry David Hickey, Chicago, IL (US);

Assignee:

Experian Health, Inc., Franklin, TN (US);

Attorney:
Primary Examiner:
Int. Cl.
CPC ...
G06N 20/00 (2019.01); G06F 3/0482 (2013.01); G06F 3/04847 (2022.01); G06F 18/21 (2023.01);
U.S. Cl.
CPC ...
G06F 18/217 (2023.01); G06F 3/0482 (2013.01); G06F 3/04847 (2013.01); G06N 20/00 (2019.01);
Abstract

Embodiments of various systems, methods, and devices are disclosed for generating artificial intelligence or machine learning models for predicting denials of medical claims, predicting approvals of resubmitted medical claims, as well as automatic workflow clustering processes for automatically assigning medical claims to workflow queues using predictive segmentation and smart resource allocation.


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