METHODS, SYSTEMS, AND COMPUTER PROGRAM PRODUCTS FOR SELECTING CRITERIA SUBSETS FOR PERFORMING A MEDICAL NECESSITY REVIEW WITH AUTOMATIC EVIDENCE HIGHLIGHTING

Patent №

US 12,683,026

Granted

2026-07-14

Filed 2023

Owner

Optum, Inc.

Lab

AI components

0

Assignment

None on record

Dataset

AIPD

Application

18193085

A method includes receiving input information associated with a health record of a patient, the input information comprising a plurality of input variable tokens; embedding the plurality of input variable tokens to generate a plurality of input variable token vectors, respectively; aggregating the plurality of input variable token vectors to generate a patient health record vector; generating, using an artificial intelligence model, an identification of a criterion used for determining an appropriateness of a care plan for the patient based on the patient health record vector; and generating a ranking of respective ones of the plurality of input variable tokens based on how much each of the plurality of input variable tokens contributed to the identification of the criterion.

G16H 50/20G06N 3/045

Ownership

Optum, Inc.

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