MACHINE-LEARNING DRIVEN REAL-TIME DATA ANALYSIS

Patent №

US 12,039,613

Granted

2024-07-16

Filed 2023

Owner

Nayya Health, Inc.

Lab

AI components

0

Assignment

None on record

Dataset

AIPD

Application

18363299

A data processing system for insurance claims analysis and adjudication implements obtaining policy coverage information for each of a plurality of insurance policies and insurance claim information associated with a plurality of insurance claims associated with an insured user, analyzing the insurance claim information using a first machine learning to obtain event-related claim grouping information; analyzing the event-related claim grouping information and the standardized policy information using the second machine learning model to obtain coverage prediction information comprising a prediction, for each event of the one or more events, identifying a respective insurance policy of the plurality of insurance policies likely to cover the one or more claims associated with each event, the second machine learning model being trained using second training data formatted according to the standard schema; and providing, via a network connection, the coverage prediction information to a computing device associated with the insured user.

G06Q 40/08G16H 40/20G16H 10/60G16H 50/20G16H 20/10G06N 20/00G06N 5/04G06Q 10/10+1 more

Ownership

Nayya Health, Inc.

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