Patent ID: 11935008
Assignee: MILLIMAN SOLUTIONS LLC
Field: IT methods for management (Electrical engineering)
Classification: CPC G | IPC G

Claim 18:
19. The system of claim 11, wherein the instructions further comprise matching the at least one carrier claim to a facility to generate a matched claim, wherein matching the at least one carrier claim to the facility comprises matching based on:
in a first matching iteration, a patient identifier for a patient that received a procedure from the practitioner, a date of service for the procedure performed, and a procedure code for the procedure;
in a second matching iteration, the patient identifier, the date of service, and a practitioner ID associated with the practitioner;
in a third matching iteration, an inpatient facility associated with the carrier claim if the carrier claim occurred during a hospitalization at the inpatient facility;
in a fourth matching iteration, the date of service and a most common facility associated with the practitioner; and
in a fifth matching iteration, the most common facility associated with the practitioner as determined based on a clinic ID in the carrier claim.