Automated claim processing with endnote hierarchy
AssigneeMitchell International, Inc.
InventorsSusan Englehart, Michele Hibbert, Miriam Encarnacion, Vicki Dunbar, Woon Kim, Valerie Lindgren
Life of this patent
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AssigneeMitchell International, Inc.
InventorsSusan Englehart, Michele Hibbert, Miriam Encarnacion, Vicki Dunbar, Woon Kim, Valerie Lindgren
Estimating the term…
System and methods for automated claim processing with endnote hierarchy are provided. In some embodiments, a computer-implemented method comprises: receiving an insurance claim, wherein the insurance claim comprises at least one line, and wherein each line comprises at least one procedure code and at least one explanation code; determining a first hierarchical rank of a plurality of the hierarchical ranks for a first explanation code in a first line based on predetermined associations between the explanation codes and the hierarchical ranks; determining, according to the determined first hierarchical rank for the first explanation code, whether the first line comprising the first code should be modified; modifying the first line comprising the first explanation code when it is determined that the first line comprising the first explanation code should be modified; and outputting the insurance claim after determining whether the first line comprising the first explanation code should be modified.
A system, comprising:
A non-transitory machine-readable storage medium encoded with instructions executable by a hardware processor of a computing component, the machine-readable storage medium comprising instructions to cause the hardware processor to perform a method comprising:
A computer-implemented method for automatically processing insurance claims, the method comprising:
Dependencies are inferred from the claim text.