PATENT CLAIM ANALYSIS

Application Number: 16249886
Application Type: Utility
Filing Date: 2019-01
Publication Date: 2019-05
Patent Classification: ["705", "014110"]

Abstract:
Methods and systems for managing healthcare cost are disclosed. A method includes receiving, one or more employee preference inputs from an employee for accessing medical services. The one or more employee preference inputs include at least one medical service and location of the employee. The method includes accessing, a plurality of pricing from plurality of medical service providers in predefined region of the location. The method includes accessing, a reward program selected by an employer. The reward program includes at least reward reference percentage and a savings share percentage. The method includes determining, a reference pricing for the at least one medical service based on the reward reference percentage and the median pricing. The method includes determining, differential pricing for each medical service provider by comparing with a corresponding pricing offered. Thereafter, the method includes calculating, reward incentive based on the differential pricing and the saving share percentage.

Claim (Index 1):
A method, comprising:\n receiving, by a processor, one or more employee preference inputs from an employee for accessing medical services, the one or more employee preference inputs comprising:\n at least one medical service; and \n a location of the employee; \n accessing, by the processor, a plurality of pricing from a plurality of medical service providers in a predefined region of the location for the at least one medical service, wherein the plurality of pricing in the predefined region is used for determining a median pricing for the at least one medical service; accessing, by the processor, a reward program selected by an employer of the employee for the medical services, the reward program comprising at least:\n a reward reference percentage; and \n a savings share percentage, wherein the savings share percentage is at least a part of a savings of the employer based on a pricing for the at least one medical service; \n determining, by the processor, a reference pricing for the at least one medical service based on the reward reference percentage and the median pricing; determining, by the processor, a differential pricing for each medical service provider of the plurality of medical service providers by comparing the reference pricing with a corresponding pricing offered by each of the medical service providers for the at least one medical service; and calculating, by the processor, a reward incentive for each of the medical service provider to be offered to the employee based on the differential pricing and the saving share percentage for the at least one medical service.

Metadata:
- Claim Count in Document: 50.0
- Percentile: 99.0
- Lexical Diversity: 2.52308
- Patent Class: 705.0
- Transitional Phrase Type: open
- Component Type: 1
- Foreign Priority: False
- Related Applications: ['13483027', '13448272', '12172941', '13196790', '13550552']

Analysis Scores:
- 35 USC 101 Eligibility (BERT): 0.1277390862780889
- 35 USC 102 Novelty (BERT): 0.5099678399206881
- Combined Prediction Score: 0.1659619616423489
- Mean Citation Score: 288.930718
- Max Citation Score: 300.82098
- Similarity Product: 216.3907965860081

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

Dataset: test