Patent · US Active

Machine-learning driven real-time data analysis

US11763393B2 · kind B2 · utility

1Cited by
7References
20Claims
0Family size

Assignee

Inventors

Key dates

Filing dateOct 12, 2021
Grant dateSep 19, 2023
Priority date
Expiry dateMar 2, 2042

Classification

  • Technology area (CPC G)Physics
  • CPC primaryG16H20/10
  • WIPO fieldMedical technology
  • WIPO sectorInstruments

Abstract

A data processing system for insurance claims analysis and adjudication implements obtaining policy coverage information for each of a plurality of insurance policies and insurance claim information associated with a plurality of insurance claims associated with an insured user, analyzing the insurance claim information using a first machine learning to obtain event-related claim grouping information; analyzing the event-related claim grouping information and the standardized policy information using the second machine learning model to obtain coverage prediction information comprising a prediction, for each event of the one or more events, identifying a respective insurance policy of the plurality of insurance policies likely to cover the one or more claims associated with each event, the second machine learning model being trained using second training data formatted according to the standard schema; and providing, via a network connection, the coverage prediction information to a computing device associated with the insured user.

Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.