System and interface for developing and processing simulations of modeled medical contracts

A system comprising:

• processing hardware;
• and
• memory hardware storing instructions that, when executed by the processing hardware, cause the processing hardware to perform operations that include:
• receiving, from a user interface of a user device, a plurality of user-defined inputs associated with a set of simulation categories, wherein the user interface includes fields configured to receive user-defined inputs for each simulation category, wherein the user-defined inputs include a first set of variables, a second set of triggers corresponding to the first set, and a third set of actions that define how a historical record is processed in response to one or more triggers, and wherein the user-defined inputs collectively define modifications for a current condition set;
• identifying a set of rules corresponding to the user-defined inputs based on the first set, the second set, and the third set, wherein each rule of the set of rules represents a condition of the current condition set;
• querying a database to obtain historical record data, wherein:
• the historical record data represents data from a plurality of historical records previously processed according to the current condition set,
• each of the plurality of historical records includes details for a set of services tendered in association with a respective historical record and a set of reimbursement amounts to one or more parties for the services tendered,
• the details include a provider of the services tendered, and
• each of the plurality of historical records corresponds to at least one of the set of simulation categories, and wherein the set of simulation categories includes a first simulation category and a second simulation category;
• generating a simulation model from the set of rules by modifying coded metadata that defines a relationship between the user-defined inputs and the historical record data;
• executing the simulation model using the user-defined inputs and the historical record data to generate a simulated condition set by:
• for each historical record of the plurality of historical records:
• for each trigger of the second set:
• identifying a variable of the first set corresponding to the trigger;
• identifying a field of the database indicated by the identified variable;
• identifying a data portion of the historical record corresponding to the identified field;
• and
• determining whether the trigger is satisfied based on a value from the data portion;
• for each trigger of the second set that has been determined to be satisfied, selecting an action associated with the trigger from the third set and adding the selected action to an action set;
• in response to the historical record corresponding to the first simulation category, generating a first simulated metric for the historical record using ones of the set of rules that correspond to the action set;
• and
• in response to the historical record corresponding to the second simulation category, generating a second simulated metric for the historical record using ones of the set of rules that correspond to the action set;
• and
• aggregating the first simulated metrics from the historical record data and the second simulated metrics from the historical record data to form aggregate simulated metrics that represent a combination of the first and second simulation categories;
• receiving an indication of a selection of an element displayed on the user interface, wherein the element corresponds to at least one simulation category from the set of simulation categories associated with the plurality of user-defined inputs;
• and
• in response to the indication:
• generating a report for rendering by the user interface, the report indicates differences between the current condition set and the simulated condition set;
• filtering the report by the element indicated by the selection;
• and
• rendering a report view for the user interface that displays a portion of the report filtered by the element indicated by the selection.