PATENT CLAIM ANALYSIS

Application Number: 16234405
Application Type: Utility
Filing Date: 2018-12
Publication Date: 2019-10
Patent Classification: ["705", "003000"]

Abstract:
Computer implemented methods and systems for bundled payment adjudication are disclosed. The method includes receiving patient information of patient. The patient information comprises at least patient identifier and clinical episode of patient. The method includes generating episode card for patient to avail healthcare services from one or more healthcare service providers for predefined time. The episode card includes claims submission information for healthcare services availed by patient from one or more healthcare service providers. The method includes receiving one or more claims associated with patient from at least one healthcare service provider. Each claim is associated with one or more healthcare services availed by patient for clinical episode using episode card. The method includes processing one or more claims for determining validity of each claim based on set of episode definition parameters. The method includes upon processing the claims, facilitating payment amount for one or more claims based on validity.

Claim (Index 7):
The method as claimed in  claim 1 , wherein the episode card comprises one or more of:\n the patient information; the claims submission information; and one or more terms and conditions for the bundled payment of claims.

Metadata:
- Claim Count in Document: 50.0
- Percentile: 98.0
- Lexical Diversity: 2.5
- Patent Class: 705.0
- Transitional Phrase Type: none
- Component Type: 0
- Foreign Priority: False
- Related Applications: ['11755713', '10253223', '13425667', '13713687', '13564047']

Analysis Scores:
- 35 USC 101 Eligibility (BERT): 0.1306751747640799
- 35 USC 102 Novelty (BERT): 0.5389428710779886
- Combined Prediction Score: 0.1715019443954707
- Mean Citation Score: 332.81883000000005
- Max Citation Score: 373.21594
- Similarity Product: 288.69475174858815

Labels:
- Claim Label 101: 1
- Claim Label 102: 1
- Claim Label 103: 0
- Claim Label 112: 1
- Combined Label: 1
- Label 101 Adjusted: 1

Dataset: test