WO2002021313A3 - Unsupervised method of identifying aberrant behavior by an entity with respect to healthcare claim transactions and associated computer software program product, computer device, and system - Google Patents
Unsupervised method of identifying aberrant behavior by an entity with respect to healthcare claim transactions and associated computer software program product, computer device, and system Download PDFInfo
- Publication number
- WO2002021313A3 WO2002021313A3 PCT/US2001/027516 US0127516W WO0221313A3 WO 2002021313 A3 WO2002021313 A3 WO 2002021313A3 US 0127516 W US0127516 W US 0127516W WO 0221313 A3 WO0221313 A3 WO 0221313A3
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- respect
- transactions
- entity
- healthcare
- program product
- Prior art date
Links
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/10—Office automation; Time management
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/80—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for detecting, monitoring or modelling epidemics or pandemics, e.g. flu
Abstract
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2001287082A AU2001287082A1 (en) | 2000-09-05 | 2001-09-05 | Unsupervised method of identifying aberrant behavior by an entity with respect to healthcare claim transactions and associated computer software program product, computer device, and system |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US23013600P | 2000-09-05 | 2000-09-05 | |
US60/230,136 | 2000-09-05 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2002021313A2 WO2002021313A2 (en) | 2002-03-14 |
WO2002021313A3 true WO2002021313A3 (en) | 2003-06-12 |
Family
ID=22864075
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2001/027516 WO2002021313A2 (en) | 2000-09-05 | 2001-09-05 | Unsupervised method of identifying aberrant behavior by an entity with respect to healthcare claim transactions and associated computer software program product, computer device, and system |
Country Status (2)
Country | Link |
---|---|
AU (1) | AU2001287082A1 (en) |
WO (1) | WO2002021313A2 (en) |
Families Citing this family (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8092380B2 (en) | 2005-02-28 | 2012-01-10 | Rothman Healthcare Corporation | System and method for improving hospital patient care by providing a continual measurement of health |
US20070219824A1 (en) * | 2006-03-17 | 2007-09-20 | Jean Rawlings | System and method for identifying and analyzing patterns or aberrations in healthcare claims |
US8126739B2 (en) | 2006-04-28 | 2012-02-28 | MDI Technologies, Inc | Method and system for tracking treatment of patients in a health services environment |
US8126738B2 (en) | 2006-04-28 | 2012-02-28 | Mdi Technologies, Inc. | Method and system for scheduling tracking, adjudicating appointments and claims in a health services environment |
CA2666379A1 (en) | 2006-10-13 | 2008-04-17 | Michael Rothman & Associates | System and method for providing a health score for a patient |
US8191053B2 (en) | 2007-04-12 | 2012-05-29 | Ingenix, Inc. | Computerized data warehousing |
FI20085340L (en) * | 2008-04-22 | 2009-10-23 | Medixine Oy | Health screening and a method for implementing the health screening |
AU2009308500A1 (en) | 2008-10-21 | 2010-04-29 | PeraHealth, Inc | Methods of assessing risk based on medical data and uses thereof |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5359509A (en) * | 1991-10-31 | 1994-10-25 | United Healthcare Corporation | Health care payment adjudication and review system |
EP0681249A2 (en) * | 1994-04-29 | 1995-11-08 | International Business Machines Corporation | Fuzzy logic entity behavior profiler |
US5819226A (en) * | 1992-09-08 | 1998-10-06 | Hnc Software Inc. | Fraud detection using predictive modeling |
US5822741A (en) * | 1996-02-05 | 1998-10-13 | Lockheed Martin Corporation | Neural network/conceptual clustering fraud detection architecture |
US5835897A (en) * | 1995-06-22 | 1998-11-10 | Symmetry Health Data Systems | Computer-implemented method for profiling medical claims |
-
2001
- 2001-09-05 WO PCT/US2001/027516 patent/WO2002021313A2/en active Search and Examination
- 2001-09-05 AU AU2001287082A patent/AU2001287082A1/en not_active Abandoned
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5359509A (en) * | 1991-10-31 | 1994-10-25 | United Healthcare Corporation | Health care payment adjudication and review system |
US5819226A (en) * | 1992-09-08 | 1998-10-06 | Hnc Software Inc. | Fraud detection using predictive modeling |
EP0681249A2 (en) * | 1994-04-29 | 1995-11-08 | International Business Machines Corporation | Fuzzy logic entity behavior profiler |
US5835897A (en) * | 1995-06-22 | 1998-11-10 | Symmetry Health Data Systems | Computer-implemented method for profiling medical claims |
US5835897C1 (en) * | 1995-06-22 | 2002-02-19 | Symmetry Health Data Systems | Computer-implemented method for profiling medical claims |
US5822741A (en) * | 1996-02-05 | 1998-10-13 | Lockheed Martin Corporation | Neural network/conceptual clustering fraud detection architecture |
Also Published As
Publication number | Publication date |
---|---|
WO2002021313A2 (en) | 2002-03-14 |
AU2001287082A1 (en) | 2002-03-22 |
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