Artificial intelligence automation for enrollment

Number of patents in Portfolio can not be more than 2000

United States of America Patent

PATENT NO 11537913
APP PUB NO 20210287113A1
SERIAL NO

16816996

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Abstract

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A system and method are disclosed for detecting anomalies in input data. The input data can include enrollment information for members of a health insurance product offered by an insurance carrier. A system is configured to process one or more parameters associated with the input data to detect whether an anomaly is indicated in the input data. At least one artificial intelligence algorithm is configured to compare a parameter in the one or more parameters to a range defined by a moving average. When an anomaly is detected, the processing can be paused and manual intervention can be facilitated. When no anomaly is detected, a database is updated based on the input data. In an embodiment, the input data is an ANSI 834 format file that includes a plurality of membership records, and the one or more parameters are derived from statistics related to the membership records.

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Patent Owner(s)

  • AETNA INC.

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Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Joglekar, Mrinal M Woodridge, US 1 1
Johnson, Rajesh Phoenix, US 1 1
Potter-Watkins, Jamie L Phoenix, US 1 1

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