System and method for rules-driven adjudication

US12299751B1 · kind B1 · utility

Assignee

• DrFirst.com, Inc. · US

Inventors

• Brian J. Downs · Scottsdale, US
• Nelson T. Tran · Mesa, US
• Alec D. Iverson · Mesa, US
• Bukola A. Robertson · Phoenix, US
• Jorden K. Kreps · Fargo, US
• John Kevin Moore · Edinburgh, GB
• Tyler Wince · Mesa, US

Key dates

• Filing date: May 6, 2024
• Grant date: May 13, 2025
• Expiry date: May 6, 2044

Classification

• Technology area (CPC G): Physics
• CPC primary: G06Q50/26
• WIPO field: IT methods for management
• WIPO sector: Electrical engineering

Abstract

A system and method for rules-driven adjudication is disclosed. The system includes a storage includes a rule library having a plurality of rules, each rule being in a human-readable format and including a first data tag, a comparator, a comparison value, and a result. The system also includes a rules manager configured to receive and store a new rule. The system includes a rules evaluator configured to receive an adjudication request having a data object associated with a data tag, and evaluate the request and create a primary determination by applying a first rule to the request, and further applying a first subsequent rule and all logically adjacent rules until all logically adjacent rules have been exhausted and the primary determination is an indefinite outcome or the applying of a final rule returns an outcome that becomes the primary determination.