Methods and systems for database management based on code-marker discrepancies
US10147504B1 · kind B1 · utility
7Cited by
5References
16Claims
0Family size
Assignee
Inventors
Key dates
| Filing date | Oct 22, 2013 |
| Grant date | Dec 4, 2018 |
| Priority date | — |
| Expiry date | Oct 22, 2033 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG16H50/30
- WIPO fieldMedical technology
- WIPO sectorInstruments
Abstract
Methods and systems for risk assessment and adjustment are described. In one embodiment, a patient-level risk score associated with a patient is calculated. A plan-level average risk score associated with a benefit plan is calculated. The patient is a member of the benefit plan. A missing diagnosis code associated with the patient is identified based on medical claims history of the patient, historical prescription drug claims of the patient, and a drug marker. A revised patient-score associated with the patient is calculated based on identification of the missing diagnosis code. Additional methods and systems are disclosed.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.