ARTIFICIAL INTELLIGENCE AUTOMATION FOR ENROLLMENT

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.

Machine learningKnowledge representationPlanningAI hardwareG06N 5/04G06F 16/2379G06F 16/258G06N 20/00G06Q 40/08

AI classification

Planning1.00
Machine learning1.00
Knowledge representation0.98
AI hardware0.96
Vision0.41
Evolutionary computation0.00
Natural language0.00
Speech0.00

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.

From the same owner

© 2026 NYSGPT2525 LLC