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.
Ownership
Optum, Inc.