System and method for detecting fraudulent medical claims via examination of service codes
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United States of America Patent
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Oct 12, 1993
Issued Date -
N/A
app pub date -
Jan 29, 1991
filing date -
Sep 30, 1988
priority date (Note) -
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Abstract
An expert computer system for processing medical claims. Medical claims and associated representation are inputted into the expert computer system. The inputted claims are interpreted according to specific rules and against a predetermined database to determine whether the medical claims are appropriate.
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