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:
Nov. 11, 2025
Filed:
Feb. 26, 2021
Clara Analytics, Inc., Santa Clara, CA (US);
CLARA ANALYTICS, INC., Santa Clara, CA (US);
Abstract
A system and a method are disclosed for a tool that generates a provider score corresponding to a predicted performance of a provider based on data of claims involving the provider. For a given claim, the tool provides the data as input into a supervised machine learning model and receives as output from the supervised machine learning model a predicted performance of the claim. The tool also inputs the data of the claim into an unsupervised machine learning model that is selected based on a stage of claim processing that the claim belongs to and receives as output from the unsupervised machine learning model an identification of a cluster of candidate claims to which the claim belongs. The tool combines the outputs of the supervised machine learning model and the unsupervised machine learning model to generate the provider score.