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:
Dec. 28, 2010
Filed:
Mar. 02, 2005
Michael Scott Hartley, Atlanta, GA (US);
Leana Rachelle Wallace, San Francisco, CA (US);
Lisa Marie Henning, Denver, CO (US);
Nicholas Francisco Howell, San Marino, CA (US);
Sanjay Mathur, Redwood City, CA (US);
Michael Scott Hartley, Atlanta, GA (US);
Leana Rachelle Wallace, San Francisco, CA (US);
Lisa Marie Henning, Denver, CO (US);
Nicholas Francisco Howell, San Marino, CA (US);
Sanjay Mathur, Redwood City, CA (US);
Accenture Global Services Limited, Dublin, IE;
Abstract
Methods and systems for identifying and resolving payment integrity issues are provided. Analytic techniques that may include a query component, an artificial intelligence engine, and a text mining component are integrated into a payment integrity system. One or more of the analysis components provide information from a source transaction system to an audit module. The audit module utilizes the outputs from the analysis components to resolve whether or not a claim payment was overpaid or underpaid. The audit module may subsequently instruct one of the analysis components to further analyze information from the source transaction system in accordance with previously provided information from another analysis component.