Patent Document ID: 7860812
Application ID: 11070739
Patent Flag: 1

Claim One:
1. A payment integrity system that processes data, comprising: a discovery module configured to receive insurance records from a source of data, the records providing information that pertain to at least one transaction, the discovery module comprising: a query component, implemented by a processor, and being configured to query the source of data to identify a first subset of the records that satisfy a selection criterion and provide a first analysis output indicative of the first subset; and an artificial intelligence (AI) engine, implemented by the processor, and being configured to: process the records to identify a second subset of the records having anomalous information, and provide a second analysis output indicative of the second subset; an audit module configured to: receive and analyze the first analysis output, determine whether to instruct the AI engine to analyze the records in accordance with the first analysis output, in response to determining to instruct the AI engine to analyze the records in accordance with the first analysis output, instruct the AI engine to analyze the records in accordance with the first analysis output, and facilitate resolution of a claim payment based on the first analysis output and the second analysis output.