Patent №
US 11,537,913
Granted
2022-12-27
Filed 2020
Owner
AETNA INC.
Lab
—
AI components
4
ml · kr · planning · hardware
Assignment
Recorded
Dataset
AIPD
2023_r1 edition
Application
16816996
A system and method are disclosed for detecting anomalies in input data. The input data can include enrollment information for members of a health insurance product offered by an insurance carrier. A system is configured to process one or more parameters associated with the input data to detect whether an anomaly is indicated in the input data. At least one artificial intelligence algorithm is configured to compare a parameter in the one or more parameters to a range defined by a moving average. When an anomaly is detected, the processing can be paused and manual intervention can be facilitated. When no anomaly is detected, a database is updated based on the input data. In an embodiment, the input data is an ANSI 834 format file that includes a plurality of membership records, and the one or more parameters are derived from statistics related to the membership records.
AI classification
Ownership
AETNA INC.
assignment · 521000411
Assignors
JOHNSON, RAJESH, JOGLEKAR, MRINAL M., POTTER-WATKINS, JAMIE L.
On an employer assignment, the assignors are typically the inventors.