Invention Grant
- Patent Title: Claim analysis with deep learning
-
Application No.: US17362820Application Date: 2021-06-29
-
Publication No.: US11861503B2Publication Date: 2024-01-02
- Inventor: Byung-Hak Kim , Hariraam Varun Ganapathi , Andrew Atwal
- Applicant: AKASA, Inc.
- Applicant Address: US CA South San Francisco
- Assignee: AKASA, Inc.
- Current Assignee: AKASA, Inc.
- Current Assignee Address: US CA South San Francisco
- Agency: Berkeley Law & Technology Group, LLP
- Main IPC: G06N3/08
- IPC: G06N3/08 ; G06N3/084 ; G06Q40/08 ; G06F17/18 ; G06F18/24

Abstract:
Embodiments relate to system for automatically predicting payer response to claims. In an embodiment, the system receives claim data associated with a claim. The system identifies a set of claim features of the claim data, and generates an input vector with at least a portion of the set of claim features. The system applies the input vector to a trained model. A first portion of the neural network is configured to generate an embedding representing the input vector with a lower dimensionality than the input vector. A second portion of the neural network is configured to generate a prediction of whether the claim will be denied based on the embedding. The system provides the prediction for display on a user interface of a user device. The prediction may further include denial reason codes and a response date estimation to indicate if, when, and why a claim will be denied.
Public/Granted literature
- US20210342949A1 CLAIM ANALYSIS WITH DEEP LEARNING Public/Granted day:2021-11-04
Information query