Methods for customized rule engines for automated medical bill review and devices thereof

A bill review engine device, comprising memory comprising programmed instructions stored thereon and one or more processors configured to execute the stored programmed instructions to:

• receive a selection of a reusable logical pattern from a pattern library, wherein the reusable logical pattern comprises source code defining at least one action and one or more template fields;
• populate the template fields based on received rule parameter data to generate and store a rule, wherein the rule parameter data comprises one or more triggering codes;
• apply the rule to contents of a received electronic medical bill to determine when the rule is triggered based on the triggering codes;
• and
• return a pricing result for the electronic medical bill to a source of the electronic medical bill, when the determination indicates that the rule is triggered, wherein the pricing result is determined based on the action.

A non-transitory machine readable medium having stored thereon instructions for automated medical bill review comprising executable code that, when executed by one or more processors, causes processors to:

• receive a selection of a reusable logical pattern from a pattern library, wherein the reusable logical pattern comprises source code defining at least one action and one or more template fields;
• populate the template fields based on received rule parameter data to generate and store a rule, wherein the rule parameter data comprises one or more triggering codes;
• apply the rule to contents of a received electronic medical bill to determine when the rule is triggered based on the triggering codes;
• and
• return a pricing result for the electronic medical bill to a source of the electronic medical bill, when the determination indicates that the rule is triggered, wherein the pricing result is determined based on the action.