60 patents
Page 2 of 3
Utility
Methods, Systems, and Computer Program Products for Processing Health Care Information Access Requests Based on Hierarchical Access Rules
6 Oct 22
A method includes performing operations as follows on a processor: defining a non-discretionary patient information access filter, the non-discretionary patient information access filter comprising first health care information access rules associated with a first governmental administrative authority and second health care information access rules associated with a second governmental administrative authority, the first governmental administrative authority having priority over the second governmental administrative authority; receiving information associated with health care services provided to a patient; receiving a request to access a portion of the information from a requesting source; and determining whether to grant the request based on the portion of the information, the requesting source, and the first and second health care information access rules.
German Scipioni, David Juitt, Anthony David Guido, Aubriana Menendez, Alex Sheu, Spencer Cross, Allan Dip
Filed: 31 Mar 21
Utility
Systems and Methods for Real-time Contract Settlement
6 Oct 22
In one embodiment, a real-time claim processing system is provided that quickly settles received claims.
Emily Bailey, Deas Richardson, IV, Liam Ernest, Michael Peresie, Arien Malec, Shiv Gopalkrishnan, Avinash Burra
Filed: 31 Mar 21
Utility
Methods, Systems, and Computer Program Products Using Artificial Intelligence for Coordinated Identification of Patients for a Clinical Trial Based on Social Determinants of Health Information
6 Oct 22
A method includes obtaining patient medical record information from a plurality of providers until a demographic profile of patients associated with the patient medical record information meets a desired demographic profile; querying the patient medical record information using selection criteria to identify a first subset of patients having first characteristics that match first screening requirements for a clinical trial; identifying, using an artificial intelligence engine, ones of the first subset of patients whose medical record information includes second characteristics that match second screening requirements for the clinical trial as clinical trial patient candidates; and communicating identities of the clinical trial patient candidates to ones of the plurality of providers that provide healthcare services to the clinical trial patient candidates, respectively.
Daniel Skees, Sanjoy Mondal, Mark Fidow, V. Scott Morris, Faisal Mushtaq
Filed: 16 Dec 21
Utility
Methods, Systems, and Computer Program Products for Processing Medical Claim Denials Using an Artificial Intelligence Engine
6 Oct 22
A method includes receiving a plurality of payment denials for medical claims from a plurality of payors; assigning, using an artificial intelligence engine, priorities to the plurality of payment denials, respectively; assigning, using the artificial intelligence engine, the plurality of payment denials to a plurality of agents responsible for obtaining payment approvals for the medical claims for which the payment denials have been received, respectively, based on the priorities.
Jaison Harada, Nanette Mapes, Tina M. Eller
Filed: 31 Mar 21
Utility
Methods, Systems, and Computer Program Products Using Artificial Intelligence for Coordinated Identification of Patients for a Clinical Trial That Are Served by Multiple Providers
6 Oct 22
A method includes receiving patient medical record information from each of a plurality of providers, the plurality of providers being associated with a plurality of different organizational managing entities, respectively; querying the patient medical record information of each of the plurality of providers using selection criteria to identify a first subset patients having first characteristics that match first screening requirements for a clinical trial; identifying, using an artificial intelligence engine, ones of the first subset of patients whose medical record information includes second characteristics that match second screening requirements for the clinical trial as clinical trial patient candidates; and communicating identities of the clinical trial patient candidates to ones of the plurality of providers that provide healthcare services to the clinical trial patient candidates, respectively.
V. Scott Morris, Faisal Mushtaq, Sanjoy Mondal, Mark Fidow
Filed: 31 Mar 21
Utility
Systems and Methods for Detecting Fraudulent Prior Authorization Requests
6 Oct 22
A system for scoring automatic prior authorization requests is provided.
Allen Perry Saunders, Thomas House, Sita Singh, Sergei Bobronnikov, Prakash Varigonda, Leonard Kierstead, Lap Yee
Filed: 30 Mar 21
Utility
Methods, Systems, and Computer Program Products for Sharing Health Care Information with Delegated Entities Using Discretionary and Non-discretionary Access Rules
6 Oct 22
A method includes defining a patient information access filter, the patient information access filter comprising a discretionary patient information access filter including first health care information access rules defined by a patient and a non-discretionary patient information access filter including second health care information access rules associated with a governmental administrative authority; receiving information associated with health care services provided to the patient; receiving a request to access a portion of the information from a requesting source; and determining whether to grant the request based on the portion of the information, the requesting source, and the first and second health care information access rules.
German Scipioni, David Juitt, Anthony David Guido, Aubriana Menendez, Alex Sheu, Spencer Cross, Allan Dip
Filed: 31 Mar 21
Utility
Systems and Methods for Document Management
29 Sep 22
In one embodiment, a document management system is provided that automatically converts documents submitted electronically with or for a claim into a format that is required by a third-party payor.
Suprigya Babu, Harshit Patel, Peter Corazao, Sang Huynh, Greg Jones, Alka Mukker
Filed: 29 Mar 21
Utility
Cloud Editing Service for Insurance Claims
22 Sep 22
A method comprises receiving, at a first entity, an insurance claim for a health care service provided to a person by a provider; providing the claim from the first entity to an editing service, wherein the editing service is configured to edit the claim in accordance with information associated with a second entity and generate an edited claim, wherein the second entity is different than the first entity; receiving, at the first entity, the edited claim from the editing service; and determining, at the first entity, a payment to be made to the provider based on the edited claim.
Melinda Jennings, Andrew Lauer, Ben Powell, Sergey Polyakov, Dede Ciprari
Filed: 16 Mar 21
Utility
Method, apparatus, and computer program product for natural language processing
6 Sep 22
A method, apparatus and computer program product are provided for implementing an actor-critic model for processing a large document.
Alex Londeree
Filed: 13 Sep 19
Utility
Method, apparatus, and computer program product for using machine learning to encode a healthcare claim as a predefined sized vector
6 Sep 22
A method, apparatus and computer program product are provided for generating a predefined sized vector representative of a healthcare claim including a variable number of service lines.
Benjamin Harris
Filed: 18 Jul 19
Utility
Elastic data privacy-compliant healthcare analytics
5 Jul 22
Disclosed and described herein are systems, methods and computer program products providing elastic data privacy-compliant healthcare analytics that enables privacy certification on a case-by-case basis.
Tim Suther, Anil Konda, Jaideep Kulkarni, Robert Stagno, Ravichandra Bangaru
Filed: 27 May 20
Utility
Vaccination Record
30 Jun 22
A vaccination record is provided.
Gautam M. Shah, Anthony David Guido, Paul Olstad, John Foss, Brad Crosslin, Shanker Rakasi, Brendan Pittman, Sergey Polyakov
Filed: 4 Nov 21
Utility
Distributed Rules Based Hierarchical Auditing System for Management of Health Care Services
23 Jun 22
A method includes receiving information associated with a health care service provided to a patient; distributing a plurality of rules for determining responsibility for payment for the health care service across a plurality of hierarchical auditing systems including a primary auditing system and a secondary auditing system; generating, using the primary auditing system, a first payment recommendation for the health care service based on a first subset of the plurality of rules and the information associated with the health care service; communicating the information associated with the health care service to the secondary auditing system; generating, using the secondary auditing system, a second payment recommendation for the health care service based on a second subset of the plurality of rules and the information associated with the health care service; and merging the first payment recommendation with the second payment recommendation to generate a final payment recommendation for the health care service.
TRACY WEBER, CHRISTINE BELANGER, DANIEL FITZGERALD, MARIAN COONEY, SERGEY POLYAKOV, MARK KESSLER, KRISHNA KUSUMBA, NIRMALKUMAR PALANISAMY
Filed: 30 Sep 20
Utility
Healthcare information system and method for controlling access to a data projection
22 Mar 22
A healthcare information system, method and computer program product are provided to receive, process and output healthcare data in compliance with data use restrictions associated with the healthcare data, even in instances in which data projections are assembled from the data elements.
Chris Patterson, Arien Malec
Filed: 31 Mar 15
Utility
Method, apparatus, and computer program product for the generation and use of cardiology reporting diagrams
22 Feb 22
A method, apparatus, and computer program product are provided herein to facilitate clinical diagram generation and interaction.
Uri Goldiner
Filed: 29 Mar 19
Utility
Blockchain system and method with secure cryptoassets
1 Feb 22
A system and method for providing secure cryptoassets in a blockchain platform.
Luke Owens, Theodore C. Tanner, Bryan Smith, Benoit Razet
Filed: 28 Sep 18
Utility
Method and apparatus for resolving disparate values for data elements within a plurality of related records
2 Nov 21
A method, computing device and computer program product are provided to obtain information from a plurality of dissimilar records by estimating the most accurate value for each field of the plurality of records.
Elisabeth Berger
Filed: 16 Mar 16
Utility
Medical Indication Determination Using Neural Network Prediction Engine
30 Sep 21
A method includes receiving first information associated with a patient, second information associated with a provider, and third information associated with an order; and determining, using a multi-layer neural network, a medical indication corresponding to the order responsive to receiving the first information, the second information, and the third information.
Henrik Johansson, Tom Conti, Tate Campbell, Bardia Afshin, Justin Schield, Daniel Anderson, Jared Lindaman
Filed: 31 Mar 20
Utility
Methods, Systems, and Computer Program Products for Dividing Health Care Service Responsibilities Between Entities
30 Sep 21
A method includes receiving information associated with health care services provided to a patient; determining for respective ones of the health care services respective probabilities that a first entity will refuse responsibility; associating a first portion of the health care services with the first entity; associating a second portion of the health care services with a second entity, the second portion of the health care services comprising respective ones of the health care services having probabilities that exceed a defined threshold; assigning responsibility for the first portion of the health care services to the first entity; and assigning responsibility for the second portion of the health care services to the second entity.
Scott Morris, Faisal Mushtaq, Jody Terakawa
Filed: 26 Mar 21