Machine-learning driven communications using application programming interfaces
AssigneeOptum Services (Ireland) Limited
InventorsConor Breen, Kirti Srivastava, Ciaran Mckenna, Kevin M. Larkin
Life of this patent
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AssigneeOptum Services (Ireland) Limited
InventorsConor Breen, Kirti Srivastava, Ciaran Mckenna, Kevin M. Larkin
Estimating the term…
Methods, apparatus, systems, computing devices, computing entities, and/or the like for verifying the coordination of benefits information with an end-to-end automated process. First, one or more machine-learning models generate predictions for members who are likely to have insurance with another insurer. The members identified are processed through another one or more machine learning models that generate predictions for who the likely other insurers are. Each insurer is associated with an insurer record/profile that identifies one or more application programming interface templates. The API-based eligibility request templates can be automatically populated to generate eligibility API-based eligibility requests. And in turn, eligibility responses are received and used to update corresponding member profiles and process claims accordingly.
A computer-implemented method for automatically generating application programming interface (API) requests, the method comprising:
A computer program product for automatically generating application programming interface (API) requests via a platform, the computer program product comprising a non-transitory computer readable medium having computer program instructions stored therein, the computer program instructions when executed by a processor, cause the processor to:
A platform for automatically generating application programming interface (API) requests, comprising a non-transitory computer readable storage medium and one or more processors, the computing system configured to:
Dependencies are inferred from the claim text.