MX2010009152A - Motor de analitica de reclamos. - Google Patents

Motor de analitica de reclamos.

Info

Publication number
MX2010009152A
MX2010009152A MX2010009152A MX2010009152A MX2010009152A MX 2010009152 A MX2010009152 A MX 2010009152A MX 2010009152 A MX2010009152 A MX 2010009152A MX 2010009152 A MX2010009152 A MX 2010009152A MX 2010009152 A MX2010009152 A MX 2010009152A
Authority
MX
Mexico
Prior art keywords
prediction
analytics engine
audit
models
unpaid
Prior art date
Application number
MX2010009152A
Other languages
English (en)
Spanish (es)
Inventor
Ghani Rayid
R Wallace Leana
S Irish Michael
K Easo Ajay
Kumar Mohit
Mei Zhu-Song
Feferman Dmitriy
F Howell Nicholas
J Lizardi Lindsey
J Jantzen Laura
Original Assignee
Accenture Global Services Gmbh
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 Accenture Global Services Gmbh filed Critical Accenture Global Services Gmbh
Publication of MX2010009152A publication Critical patent/MX2010009152A/es

Links

Classifications

    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; 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
    • G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08—Insurance
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06N—COMPUTING ARRANGEMENTS BASED ON SPECIFIC COMPUTATIONAL MODELS
    • G06N20/00—Machine learning
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; 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

Landscapes

  • Engineering & Computer Science (AREA)
  • Business, Economics & Management (AREA)
  • Theoretical Computer Science (AREA)
  • Strategic Management (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Finance (AREA)
  • Accounting & Taxation (AREA)
  • General Business, Economics & Management (AREA)
  • Marketing (AREA)
  • Economics (AREA)
  • Entrepreneurship & Innovation (AREA)
  • Data Mining & Analysis (AREA)
  • Human Resources & Organizations (AREA)
  • Software Systems (AREA)
  • Technology Law (AREA)
  • Development Economics (AREA)
  • Quality & Reliability (AREA)
  • Evolutionary Computation (AREA)
  • Operations Research (AREA)
  • Mathematical Physics (AREA)
  • Tourism & Hospitality (AREA)
  • Medical Informatics (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Artificial Intelligence (AREA)
  • Computing Systems (AREA)
  • General Engineering & Computer Science (AREA)
  • Information Retrieval, Db Structures And Fs Structures Therefor (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Financial Or Insurance-Related Operations Such As Payment And Settlement (AREA)
MX2010009152A 2009-08-25 2010-08-19 Motor de analitica de reclamos. MX2010009152A (es)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US12/547,110 US8762180B2 (en) 2009-08-25 2009-08-25 Claims analytics engine

Publications (1)

Publication Number Publication Date
MX2010009152A true MX2010009152A (es) 2011-03-11

Family

ID=42827395

Family Applications (1)

Application Number Title Priority Date Filing Date
MX2010009152A MX2010009152A (es) 2009-08-25 2010-08-19 Motor de analitica de reclamos.

Country Status (7)

Country Link
US (2) US8762180B2 (enExample)
EP (1) EP2290608A1 (enExample)
JP (1) JP5586373B2 (enExample)
CN (1) CN101996385A (enExample)
AU (1) AU2010212343B2 (enExample)
CA (1) CA2712849A1 (enExample)
MX (1) MX2010009152A (enExample)

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US11244401B2 (en) 2015-10-30 2022-02-08 Hartford Fire Insurance Company Outlier system for grouping of characteristics
US10942929B2 (en) 2015-10-30 2021-03-09 Hartford Fire Insurance Company Universal repository for holding repeatedly accessible information
US10628456B2 (en) 2015-10-30 2020-04-21 Hartford Fire Insurance Company Universal analytical data mart and data structure for same
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CN106022892A (zh) * 2016-05-30 2016-10-12 深圳市华傲数据技术有限公司 信用评分模型的更新方法及系统
CN106022912A (zh) * 2016-05-30 2016-10-12 深圳市华傲数据技术有限公司 评价模型的更新方法及系统
CN107871283A (zh) * 2016-09-26 2018-04-03 平安科技（深圳）有限公司 保险理赔的处理方法及装置
CN108230158B (zh) * 2016-12-15 2021-12-03 平安科技（深圳）有限公司 一种理赔测试方法和装置
CN107766929B (zh) * 2017-05-05 2019-05-24 平安科技（深圳）有限公司 模型分析方法及装置
US20210287297A1 (en) * 2017-09-27 2021-09-16 State Farm Mutual Automobile Insurance Company Automobile Monitoring Systems and Methods for Loss Reserving and Financial Reporting
US20190095999A1 (en) * 2017-09-28 2019-03-28 Accenture Global Solutions Limited Cognitive agent assistant
KR101974521B1 (ko) * 2017-11-29 2019-05-07 (주)위세아이텍 인공지능 기반의 보험금 부당청구 탐지 장치 및 방법
US10769570B2 (en) * 2017-12-27 2020-09-08 Accenture Global Solutions Limited Artificial intelligence based risk and knowledge management
US11586955B2 (en) 2018-02-02 2023-02-21 Accenture Global Solutions Limited Ontology and rule based adjudication
US20190279306A1 (en) * 2018-03-09 2019-09-12 Cognizant Technology Solutions India Pvt. Ltd. System and method for auditing insurance claims
JP7198001B2 (ja) * 2018-06-06 2022-12-28 株式会社日立製作所 判定装置、判定方法
US11538112B1 (en) * 2018-06-15 2022-12-27 DocVocate, Inc. Machine learning systems and methods for processing data for healthcare applications
US11270156B2 (en) 2018-06-28 2022-03-08 Optum Services (Ireland) Limited Machine learning for dynamically updating a user interface
US11636455B2 (en) * 2018-07-12 2023-04-25 Inbox Health Corp. Intelligent patient billing communication platform for health services
CN110858214B (zh) * 2018-08-22 2022-07-05 北京国双科技有限公司 推荐模型训练、及进一步审计程序推荐方法、装置及设备
US20200111054A1 (en) * 2018-10-03 2020-04-09 International Business Machines Corporation Automated claims auditing
KR102605458B1 (ko) * 2018-10-05 2023-11-22 텔레폰악티에볼라겟엘엠에릭슨(펍) 분석 기능 발견 방법 및 장치
CN109829150B (zh) * 2018-11-27 2023-11-14 创新先进技术有限公司 保险理赔文本处理方法及装置
CN109636632A (zh) * 2018-12-13 2019-04-16 平安医疗健康管理股份有限公司 基于机器学习的保险理赔方法、装置、设备及存储介质
JP6743116B2 (ja) * 2018-12-25 2020-08-19 みずほ情報総研株式会社 審査支援システム、審査支援方法及び審査支援プログラム
US10977738B2 (en) * 2018-12-27 2021-04-13 Futurity Group, Inc. Systems, methods, and platforms for automated quality management and identification of errors, omissions and/or deviations in coordinating services and/or payments responsive to requests for coverage under a policy
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JP2020129295A (ja) * 2019-02-08 2020-08-27 富士通株式会社 情報処理プログラム、情報処理装置、及び情報処理方法
US11568397B2 (en) 2019-04-24 2023-01-31 Cerner Innovation, Inc. Providing a financial/clinical data interchange
WO2020241332A1 (ja) * 2019-05-30 2020-12-03 富士フイルム富山化学株式会社 医療情報登録支援装置、医療情報登録支援方法、及びプログラム
US20210133769A1 (en) * 2019-10-30 2021-05-06 Veda Data Solutions, Inc. Efficient data processing to identify information and reformant data files, and applications thereof
US11315196B1 (en) * 2019-12-03 2022-04-26 Data-Core Systems, Inc. Synthesized invalid insurance claims for training an artificial intelligence / machine learning model
US11461361B2 (en) 2019-12-31 2022-10-04 Cerner Innovation, Inc. Rapid hyperledger onboarding platform
US11449359B2 (en) 2020-06-12 2022-09-20 Optum Services (Ireland) Limited Prioritized data object processing under processing time constraints
US20210406246A1 (en) * 2020-06-24 2021-12-30 David Mueller Management of diverse data analytics frameworks in computing systems
US11663552B2 (en) * 2020-12-15 2023-05-30 International Business Machines Corporation Dynamically customizing a workflow separate from domain logic
CN114926184B (zh) * 2021-02-02 2025-03-18 华晨宝马汽车有限公司 优化索赔成本回收过程的方法、系统和设备
US20230013443A1 (en) * 2021-07-19 2023-01-19 Chevron U.S.A. Inc. Systems and processes for reconciling field costs
US20230063220A1 (en) * 2021-08-30 2023-03-02 EnableComp, LLC Systems and Methods for Predicting Missing Data Values
US12488063B2 (en) 2021-09-01 2025-12-02 Unitedhealth Group Incorporated Generating input processing rules engines using probabilistic clustering techniques
US12260943B2 (en) 2022-01-27 2025-03-25 Evernorth Strategic Development, Inc. Defection propensity model architecture with adaptive remediation
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CN117541171B (zh) * 2023-10-23 2024-11-26 上海新厝科技有限公司 一种基于区块链的信息处理方法及系统

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Also Published As

Publication number Publication date
JP2011048822A (ja) 2011-03-10
EP2290608A1 (en) 2011-03-02
US8762180B2 (en) 2014-06-24
US20140249865A1 (en) 2014-09-04
CN101996385A (zh) 2011-03-30
US20110054925A1 (en) 2011-03-03
JP5586373B2 (ja) 2014-09-10
AU2010212343A1 (en) 2011-03-17
AU2010212343B2 (en) 2012-04-12
CA2712849A1 (en) 2011-02-25

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