Claims processing with extracted claim variables

Abstract

A provider computing system includes a claims database storing claim statements for a plurality of claims, the claim statements including a plurality of claim variable, an orchestration circuit storing computer-executable instructions embodying one or more machine learning models, at least one processor, and at least one memory, the at least one memory storing instructions that, when executed by the at least one processor, cause the at least one processor to perform operations. The operations include receive a first claim statement corresponding to a new claim; cause, by the orchestration circuit, the one or more machine learning models to parse the first claim statement; determine a first claim variable from the first claim statement; generate, by the orchestration circuit, a response including a request for a second claim statement; and transmit the request for a second claim statement.