Patent ID: 11880888
Assignee: THE FEINSTEIN INSTITUTES FOR MEDICAL RESEARCH
Field: Medical technology (Instruments)
Classification: CPC G | IPC G

Claim 20:
21. The platform according to claim 13, wherein the adjudication microservice is further programmed to obtain the second plurality of patient-specific medical-necessity information data objects from the trusted medical knowledge database stored on the plurality of electronic resources via the at least one second API call by transmitting at least one instruction to at least one controller of a plurality of controllers controlling the plurality of electronic resources to trigger the at least one second API call;
wherein the at least one second API call programs the at least one controller to:
(i) identify the second plurality of patient-specific medical-necessity information data objects from data objects stored in the trusted medical knowledge database based on keywords associated with patient data in each of the plurality of patient-specific data elements associated with the at least one medical service provided to the at least one first patient, and
(ii) transmit the second plurality of patient-specific medical-necessity information data objects that were identified in the trusted medical knowledge database over the communication network to the at least one processor of at least one backend computing device from the plurality of backend computing devices executing the adjudication microservice;
wherein the second plurality of patient-specific medical-necessity information data objects lack any patient-specific necessity information associated with a necessity justification by the at least one first provider for providing the at least one medical service to the at least one first patient.