Data-driven concepts for processing claims

US10510122B2 · kind B2 · utility

Assignee

• Change Healthcare Holdings, LLC · US

Inventors

• Tracy Ann Weber · Southbury, US
• David Sheldon · Simsbury, US
• Prasanth Vijayakumar · Stamford, US
• Gregory E. Williams · Cuyahoga Falls, US

Key dates

• Filing date: Jan 28, 2016
• Grant date: Dec 17, 2019
• Expiry date: Oct 19, 2038

Classification

• Technology area (CPC G): Physics
• CPC primary: G06Q10/10
• WIPO field: IT methods for management
• WIPO sector: Electrical engineering

Abstract

Systems, methods, apparatus, and computer program products are provided for processing claims. In various embodiments, claims can be processed in accordance with a data-driven approach that limits changes to existing claims processing rules by using an inclusions table, an exclusions table, and/or a decision table as part of firing or executing claims processing rules to accommodate for such changes.