PATENT CLAIM ANALYSIS

Application Number: 16270346
Application Type: Utility
Filing Date: 2019-02
Publication Date: 2019-08
Patent Classification: ["705", "002000"]

Abstract:
A method for processing relationships in a medical claims database using a computerized system having a processor and a non-transitory memory includes storing multi-field medical claim data and multi-field insurance claim data in a relational electronic database. The insurance claim data corresponds to at least a portion of the medical claim data. A worklist template is defined using at least one filter and at least one multiplier. The at least one filter excludes at least a portion of the medical claim data, and the at least one multiplier defines a weighted value applicable to at least one field of the multi-field medical claim data. The processor converts the medical claim data into standardized values by applying the at least one multiplier to at least one field of the multi-field medical claim data. A biller worklist is assigned based on a hierarchy of the standardized values.

Claim (Index 12):
A system for medical claims billing management, comprising:\n at least one billing computer device having a processor and non-transitory computer-readable memory; a relational, subject-oriented electronic medical records (EMR) database of a medical provider containing multi-field medical claim data; a remote insurance database containing multi-field insurance claim data corresponding to at least a portion of the medical claim data; a server having a processor and non-transitory computer-readable memory, the server accessible over at least one network system by the billing computer device, the EMR database, and the insurance database; and a billing management application running at least partially on the server, wherein the billing management application:\n collects multi-field medical claim data from the EMR database; \n retrieves multi-field insurance claim data from the insurance database; \n provides a plurality of dashboards on a computerized graphical user interface for viewing the collected medical claim data and the retrieved insurance claim data, wherein each of the plurality of dashboards provides a prioritization of a handling of a portion of the medical claims data to a medical claim analyst workstation/computing device, wherein the medical claim analyst communicates with an insurance provider associated with the portion of the medical claims data according to a schedule determined by the prioritization; and \n provides at least one manager view dashboard providing workflow data corresponding to the plurality of billing view dashboards.

Metadata:
- Claim Count in Document: 50.0
- Percentile: 99.0
- Lexical Diversity: 2.53333
- Patent Class: 705.0
- Transitional Phrase Type: open
- Component Type: 1
- Foreign Priority: False
- Related Applications: ['15275223', '13546324', '15204900', '09921654', '13083420']

Analysis Scores:
- 35 USC 101 Eligibility (BERT): 0.0860341236897435
- 35 USC 102 Novelty (BERT): 0.4922221640858664
- Combined Prediction Score: 0.1266529277293558
- Mean Citation Score: 197.263896
- Max Citation Score: 203.89462
- Similarity Product: 143.61380646753787

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

Dataset: test