Patent ID: 8762180
Filing Date: 2014-06-24
Classification: G06N,G06Q

Abstract:
1. A non-transitory computer-usable medium having computer-readable components for processing claims, said components comprising: a data extraction module operable for extracting claim attribute information from a claims database; a plurality of predictive models operable for evaluating attributes of a claim extracted from said claims database; computer code operable for flagging the claim in response to a determination by said plurality of predictive models that an attribute associated with the claim is incorrect; computer code operable for performing a simulation to determine a measure of impact upon a set of predictive models of providing the claim as a training input to the set of predictive models; computer code operable for forwarding the claim to be audited in response to the claim being flagged and the measure of impact satisfying a first threshold value; and computer code operable for providing the claim as a training input to the plurality of predictive models based on audit feedback indicating that said determination by said predictive models is erroneous.