AU2001287082A1 - 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

Info

Publication number
AU2001287082A1
AU2001287082A1 AU2001287082A AU8708201A AU2001287082A1 AU 2001287082 A1 AU2001287082 A1 AU 2001287082A1 AU 2001287082 A AU2001287082 A AU 2001287082A AU 8708201 A AU8708201 A AU 8708201A AU 2001287082 A1 AU2001287082 A1 AU 2001287082A1
Authority
AU
Australia
Prior art keywords
healthcare
transactions
entity
respect
program product
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
AU2001287082A
Inventor
Samir Ibrahim Abed
Paul A. Dubose
Aaron Michael Seib
Michael Yvan Wallace
David Stanton Whipple
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bloodhound Software Inc
Original Assignee
Bloodhound Software Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Bloodhound Software Inc filed Critical Bloodhound Software Inc
Publication of AU2001287082A1 publication Critical patent/AU2001287082A1/en
Abandoned legal-status Critical Current

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

Landscapes

  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Business, Economics & Management (AREA)
  • Medical Informatics (AREA)
  • Data Mining & Analysis (AREA)
  • Entrepreneurship & Innovation (AREA)
  • Strategic Management (AREA)
  • Human Resources & Organizations (AREA)
  • Primary Health Care (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pathology (AREA)
  • Databases & Information Systems (AREA)
  • Biomedical Technology (AREA)
  • Economics (AREA)
  • Theoretical Computer Science (AREA)
  • General Physics & Mathematics (AREA)
  • General Business, Economics & Management (AREA)
  • Physics & Mathematics (AREA)
  • Tourism & Hospitality (AREA)
  • Quality & Reliability (AREA)
  • Operations Research (AREA)
  • Marketing (AREA)
  • Information Retrieval, Db Structures And Fs Structures Therefor (AREA)
AU2001287082A 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 Abandoned AU2001287082A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US23013600P 2000-09-05 2000-09-05
US60/230,136 2000-09-05
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

Publications (1)

Publication Number Publication Date
AU2001287082A1 true AU2001287082A1 (en) 2002-03-22

Family

ID=22864075

Family Applications (1)

Application Number Title Priority Date Filing Date
AU2001287082A Abandoned 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

Country Status (2)

Country Link
AU (1) AU2001287082A1 (en)
WO (1) WO2002021313A2 (en)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1872290A4 (en) * 2005-02-28 2009-08-26 Michael Rothman A 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
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
US8126739B2 (en) 2006-04-28 2012-02-28 MDI Technologies, Inc Method and system for tracking treatment of patients in a health services environment
AU2007308078A1 (en) 2006-10-13 2008-04-17 PeraHealth, Inc 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
WO2010048282A1 (en) 2008-10-21 2010-04-29 Rothman Healthcare Research, Llc Methods of assessing risk based on medical data and uses thereof

Family Cites Families (5)

* Cited by examiner, † Cited by third party
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
US5577169A (en) * 1994-04-29 1996-11-19 International Business Machines Corporation Fuzzy logic entity behavior profiler
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
WO2002021313A3 (en) 2003-06-12
WO2002021313A2 (en) 2002-03-14

Similar Documents

Publication Publication Date Title
AU2002352428A1 (en) System, method, and computer program product for data transfer reporting for an application
AU2001237540A1 (en) Data processing system, method and computer program, computer program product and business method
AU2001263336A1 (en) Systems, methods and computer program products for facilitating display of content within application programs executing on electronic devices
AU2001232927A1 (en) System, method and computer program product for collection of opinion data
AU2003215793A1 (en) System, method, and computer program product for single-handed data entry
AU2003288194A1 (en) Product and parts management system, data processing system, serial number management method, computer program product, and computer-readable medium
AU2001289008A1 (en) Method, system, and computer program product for synchronization of similar data objects with event information
AU2001291179A1 (en) Method, system, and computer program product for interfacing with information sources
AU2001269791A1 (en) System, method and computer program product for allowing a carrier to act as a credit-approval entity for e-commerce transactions
AU2002305667A1 (en) System, method, and computer program product for configuring computing systems
AU2003289109A1 (en) Information processing device, information processing method, and computer program
AU2003284405A1 (en) Information processing device, server client system, method, and computer program
AU2484100A (en) Systems, methods and computer program products for performing internet searches utilizing bookmarks
TWI370968B (en) Method, system and computer program product for monitoring performance of the processor when interrupt occurs
HUE039582T2 (en) Method, system and computer program product for the transmission of data
AU2003289112A1 (en) Information processing device, content management method, content information management method, and computer program
AU2003300886A1 (en) System, method and computer program product for providing profile information
AU2001269792A1 (en) System, method and computer program product for reading, correlating, processing, categorizing and aggregating events of any type
AU2001249480A1 (en) Methods, systems and computer program products for dynamic scheduling and matrix collecting of data about samples
AU2003289111A1 (en) Information processing device, information processing method, and computer program
AU2003284407A1 (en) Information processing device, information processing method, and computer program
AU2003245924A1 (en) Method and system for simulating order processing processes, corresponding computer program product, and corresponding computer-readable storage medium
AU2001287082A1 (en) 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
AU2003276721A1 (en) Information processing apparatus, method, system, and computer program product
WO2000079449A8 (en) System, method and computer program product for generating an inventory-centric demographic hyper-cube