专利快速检索-快速检索全球专利，免费商用专利数据库-IPRDB

1. 发明申请

US20060217824A1 Fraud, abuse, and error detection in transactional pharmacy claims 审中-公开
标题翻译：欺诈，滥用和错误检测在交易药房索赔
公开(公告)号：US20060217824A1
公开(公告)日：2006-09-28
申请号：US11361473
申请日：2006-02-23
申请人： Andrea Allmon , Jean Traversay , Craig Nies , Anu Pathria , Phuong Nguyen , Nallan Suresh , Michael Tyler
发明人： Andrea Allmon , Jean Traversay , Craig Nies , Anu Pathria , Phuong Nguyen , Nallan Suresh , Michael Tyler
IPC分类号： G06F17/00
CPC分类号： G06F19/328 , G06Q40/08
摘要： A computer-implemented approach for processing benefits payment claims for prescription medicine, with these operations. Receiving pending pharmacy benefits payment claims submitted for payment by a pharmacy benefits claims payor, each claim specifying a patient. For each claim and its specified patient, performing operations including the following. Performing computer-driven statistical analysis of predefined aspects of one of the following in relation to a compiled history of past claims paid by one or more pharmacy benefits claims payors: claims history for the patient, the claim, medical history of the patient. Generating an indicator of predicted legitimacy by scoring results of the statistical analysis. Providing an output of at least one of the following: the indicator, payment advice prepared by applying predefined criteria to data including the indicator.
摘要翻译：通过这些操作，计算机实施的处方方式可用于处方药的付款索赔。收到由药房福利索赔付款人提交付款的待付药房福利付款索赔，每项索赔指定一名病人。对于每个索赔及其指定的患者，执行包括以下内容的操作。对由以下索赔支付的过去索赔的已编译历史进行计算机驱动的统计分析：一个或多个药房利益索赔付款人的付款历史：患者的索赔历史，索赔，患者的病史。通过统计分析结果得出预测合法性的指标。提供以下至少一项的输出：指标，通过对包括指标的数据应用预定义标准而准备的支付建议。

2. 发明申请

US20070271120A1 SEQUENCING MODELS OF HEALTHCARE RELATED STATES 有权
标题翻译：健康相关国家的序列模型
公开(公告)号：US20070271120A1
公开(公告)日：2007-11-22
申请号：US11781887
申请日：2007-07-23
申请人： Nallan Suresh , Jean de Traversay , Hyma Gollamudi , Krassimir Ianakiev , Anu Pathria , Michael Tyler
发明人： Nallan Suresh , Jean de Traversay , Hyma Gollamudi , Krassimir Ianakiev , Anu Pathria , Michael Tyler
IPC分类号： G06Q10/00
CPC分类号： G06Q10/10 , G06F19/00 , G06F19/328 , G06Q50/22 , G06Q50/24 , G16H40/20
摘要： Transition probability sequencing models and metrics are derived from healthcare claims data to identify potentially fraudulent or abusive practices, providers, doctors, clients, or other entities. Healthcare reimbursement claims from hospitals, skilled nursing facilities, doctors, etc., are processed to identify sequences of states, and transition probability metrics are determined from frequency information pertaining to the states. The metrics can these be further analyzed in predictive or rule based models, or other tools.
摘要翻译：过渡概率排序模型和指标来自医疗保健索赔数据，以识别潜在的欺诈或滥用行为，提供者，医生，客户或其他实体。处理来自医院，熟练护理机构，医生等的医疗保险费用索赔，以识别状态序列，并且根据与状态相关的频率信息确定转移概率度量。这些指标可以在预测或基于规则的模型或其他工具中进一步分析。

3. 发明申请

US20090094064A1 Healthcare Insurance Claim Fraud and Error Detection Using Co-Occurrence 审中-公开
标题翻译：医疗保险索赔欺诈和错误检测使用共同发生
公开(公告)号：US20090094064A1
公开(公告)日：2009-04-09
申请号：US11869628
申请日：2007-10-09
申请人： Michael Tyler , Moiz Saifee , Shafi Rahman , Anu Pathria , Andrea Allmon
发明人： Michael Tyler , Moiz Saifee , Shafi Rahman , Anu Pathria , Andrea Allmon
IPC分类号： G06Q40/00
CPC分类号： G06Q40/08 , G06F19/328 , G06Q10/10
摘要： A healthcare insurance claim that includes variables characterizing aspects of a healthcare service for which reimbursement is sought is analyzed in order to determine whether there are any aspects that are indicative of fraud or error. This analysis includes generating score variables from the variables of the healthcare insurance claim and determining whether a presence of one or more of the pairs of variables is indicative of fraud or error based on levels of co-occurrence of the one or more pairs in historical healthcare insurance claims. If a positive determination occurs, then the healthcare insurance claim can be flagged or elevated for review by a user. Related techniques, apparatus, systems, and articles are also described.
摘要翻译：分析医疗保险索赔，其中包括表征寻求报销的医疗保健服务方面的变量，以确定是否存在任何指示欺诈或错误的方面。该分析包括从医疗保险索赔的变量中产生得分变量，并根据历史医疗保健中一对或多对的共同发生水平确定一对或多对变量的存在是否表示欺诈或错误保险索赔。如果发生积极的决定，那么医疗保险索赔可以被标记或提升，以供用户审查。还描述了相关技术，装置，系统和制品。

4. 发明授权

US08694148B2 Tracking and marking specimens having defects formed during laser via drilling 有权
标题翻译：跟踪和标记在激光穿孔过程中形成的缺陷
公开(公告)号：US08694148B2
公开(公告)日：2014-04-08
申请号：US11719390
申请日：2005-11-14
申请人： Michael Tyler , Robert W. Colby , Jeffrey W. Leonard , Lindsey M. Dotson , David A. Watt , Cris E. Hill , Laura H. Campbell
发明人： Michael Tyler , Robert W. Colby , Jeffrey W. Leonard , Lindsey M. Dotson , David A. Watt , Cris E. Hill , Laura H. Campbell
IPC分类号： G06F19/00 , G01R31/00
CPC分类号： H05K3/0026 , B23K26/02 , B23K26/382 , B23K26/389 , B23K26/40 , B23K31/12 , B23K2101/42 , B23K2103/12 , B23K2103/172 , B23K2103/42 , B23K2103/50 , H05K3/225 , H05K2201/09936 , H05K2203/163
摘要： A method and system increase processed specimen yield in the laser processing of target material that includes multiple specimens formed on a common substrate. Preferred embodiments implement a feature that enables storage in the laser processing system a list of defective specimens that have somehow been subject to error during laser processing. Once the common substrate has been completely processed, the system alerts an operator to the number of improperly processed specimens and gives the operator an opportunity to run a software routine, which in a preferred embodiment uses a laser to scribe a mark on the top surface of each improperly processed specimen.
摘要翻译：一种方法和系统在目标材料的激光加工中增加了加工样品产量，其包括在公共基底上形成的多个样品。优选实施例实现能够在激光处理系统中存储在激光处理期间以某种方式遭受错误的缺陷样本的列表的特征。一旦共同的基板被完全处理，系统就会向操作人员提供不正确处理的标本的数量，并给予操作者运行一个软件程序的机会，在一个优选的实施例中，该程序使用激光来刻划在每个不正确加工的样品。

5. 发明授权

US08219415B2 Characterizing relationships among procedures using similarity metrics 有权
标题翻译：使用相似性指标来表征程序之间的关系
公开(公告)号：US08219415B2
公开(公告)日：2012-07-10
申请号：US12057243
申请日：2008-03-27
申请人： Michael Tyler , Moiz Saifee , Nitin Basant , Shafi Rahman
发明人： Michael Tyler , Moiz Saifee , Nitin Basant , Shafi Rahman
IPC分类号： G06Q10/00
CPC分类号： G06Q50/22 , G06F19/00 , G06Q10/10 , G06Q30/0185 , G06Q50/24
摘要： Data is received that characterizes a plurality of procedures for a single event. Thereafter, one or more dynamically determined groups are associated with the plurality of procedures, the dynamically determined groups being generated from similarity metrics derived from a plurality of historical procedures for a plurality of historical events. A likelihood of the plurality of procedures being associated with the single event can then be determined based on the associated one or more dynamically determined groups. This determined likelihood can be used to determine whether the data is indicative of fraud. Related apparatus, systems, techniques and articles are also described.
摘要翻译：收到表征单个事件的多个过程的数据。此后，一个或多个动态确定的组与多个过程相关联，动态确定的组是从多个历史事件的多个历史过程导出的相似性度量生成的。然后可以基于相关联的一个或多个动态确定的组来确定多个过程与单个事件相关联的可能性。该确定的可能性可用于确定数据是否表示欺诈。还描述了相关设备，系统，技术和物品。

6. 发明授权

US08214232B2 Healthcare insurance claim fraud detection using datasets derived from multiple insurers 有权
标题翻译：医疗保险索赔使用从多家保险公司衍生的数据集进行欺诈检测
公开(公告)号：US08214232B2
公开(公告)日：2012-07-03
申请号：US12765651
申请日：2010-04-22
申请人： Michael Tyler , Nitan Basant , Robin P , Shafi Rahman
发明人： Michael Tyler , Nitan Basant , Robin P , Shafi Rahman
IPC分类号： G06Q10/00
CPC分类号： G06Q50/22 , G06F19/00 , G06Q30/0185 , G06Q40/08 , G06Q50/24
摘要： Various techniques are described that enable a smaller insurer (or an insurer with a less developed dataset) to be able to characterize whether certain healthcare insurance claim elements are potentially fraudulent or erroneous. Datasets from larger insurers (with well developed datasets) and/or datasets from a consortium of insurers can be leverage by the smaller insurer. Related techniques, apparatus, systems, and articles are also described.
摘要翻译：描述了使得较小的保险公司（或具有较不发达的数据集的保险公司）能够表征某些医疗保险索赔要素是否潜在的欺诈或错误的各种技术。较大的保险公司（具有良好开发的数据集）和/或保险公司财团的数据集的数据集可由较小的保险公司杠杆。还描述了相关技术，装置，系统和制品。

7. 发明申请

US20080120804A1 Spring balance assembly 审中-公开
标题翻译：弹簧平衡组件
公开(公告)号：US20080120804A1
公开(公告)日：2008-05-29
申请号：US11523778
申请日：2006-09-18
申请人： Jason L. Annes , Michael Tyler
发明人： Jason L. Annes , Michael Tyler
IPC分类号： E05F1/16
CPC分类号： E05D13/1276 , E05Y2900/148 , Y10T16/64 , Y10T16/641
摘要： A balance assembly for a sash window slidable within a master frame includes first and second springs, each having a coiled portion and a free end adapted to be attached to a shoe, and first and second substantially identical spring holders. The spring holder includes a plate adapted to be attached to the master frame, a first connector, a second connector, a first spring support, and a second spring support. The first connector is cooperatively dimensioned with the second connector such that the first connector of one spring holder connects to the second connector of the other spring holder. The spring holder can support the spring in one of two configurations. In the first configuration, the coiled portion of the spring is supported by the first spring support, and in the second configuration, the coiled portion of the spring is supported by the second spring support.
摘要翻译：用于在主框架内滑动的窗框窗口的平衡组件包括第一和第二弹簧，每个弹簧具有线圈部分和适于附接到鞋子的自由端以及第一和第二基本相同的弹簧保持器。弹簧保持器包括适于附接到主框架的板，第一连接器，第二连接器，第一弹簧支撑件和第二弹簧支撑件。第一连接器与第二连接器配合地确定尺寸，使得一个弹簧座的第一连接器连接到另一个弹簧座的第二连接器。弹簧座可以以两种配置之一支撑弹簧。在第一构造中，弹簧的卷绕部分由第一弹簧支撑件支撑，并且在第二构造中，弹簧的螺旋部分被第二弹簧支撑件支撑。

8. 发明申请

US20070205615A1 Sash Lock Assembly Having Forced Entry Resistance 审中-公开
标题翻译：具有强制进入阻力的窗框锁组件
公开(公告)号：US20070205615A1
公开(公告)日：2007-09-06
申请号：US11677253
申请日：2007-02-21
申请人： Mark Eenigenburg , Edward Flory , Michael Tyler
发明人： Mark Eenigenburg , Edward Flory , Michael Tyler
IPC分类号： E05C3/04
CPC分类号： E05C3/046 , E05C2007/007 , Y10T292/1041
摘要： A sash lock assembly is used with a sash window assembly having an upper sash window and a lower sash window slidable within tracks of a master frame. The sash lock assembly includes a keeper adapted to be connected to the upper sash window, a housing adapted to be connected to the lower sash window, a rotor positioned within the housing, a handle having a shaft extending through the housing and connected to the rotor, and a selectable stop member. The rotor is moveable between a locked position, wherein the rotor engages the keeper, and an unlocked position, wherein the rotor does not engage the keeper. Movement of the handle moves the rotor between the locked position and the unlocked position. The anti-rotation device includes a stop member and is moveable between a first position, wherein the stop member blocks movement of the rotor from the locked position to the unlocked position, and a second position, wherein the stop member does not block movement of the rotor.
摘要翻译：窗框锁组件与窗扇组件一起使用，窗扇组件具有上框窗口和可在主框架的轨道内滑动的下窗框窗口。窗框锁组件包括适于连接到上窗框的保持器，适于连接到下窗框的壳体，位于壳体内的转子，具有延伸穿过壳体并连接到转子的轴的手柄，以及可选择的停止构件。转子可以在其中转子接合保持器的锁定位置和解锁位置之间移动，其中转子不接合保持器。手柄的移动使转子在锁定位置和解锁位置之间移动。防旋转装置包括止动构件，并且可在第一位置和第二位置之间移动，第一位置和止动构件阻止转子从锁定位置到解锁位置的移动，其中止动构件不阻挡转子。

9. 发明申请

US20110264459A1 HEALTHCARE INSURANCE CLAIM FRAUD DETECTION USING DATASETS DERIVED FROM MULTIPLE INSURERS 有权
标题翻译：使用从多个保险人派生的数据库进行保健保险索赔欺诈检测
公开(公告)号：US20110264459A1
公开(公告)日：2011-10-27
申请号：US12765651
申请日：2010-04-22
申请人： Michael Tyler , Nitin Basant , Robin P , Shafi Rahman
发明人： Michael Tyler , Nitin Basant , Robin P , Shafi Rahman
IPC分类号： G06Q40/00 , G06Q50/00 , G06F17/30 , G06Q99/00
CPC分类号： G06Q50/22 , G06F19/00 , G06Q30/0185 , G06Q40/08 , G06Q50/24
摘要： Various techniques are described that enable a smaller insurer (or an insurer with a less developed dataset) to be able to characterize whether certain healthcare insurance claim elements are potentially fraudulent or erroneous. Datasets from larger insurers (with well developed datasets) and/or datasets from a consortium of insurers can be leverage by the smaller insurer. Related techniques, apparatus, systems, and articles are also described.
摘要翻译：描述了使得较小的保险公司（或具有较不发达的数据集的保险公司）能够表征某些医疗保险索赔要素是否潜在的欺诈或错误的各种技术。较大的保险公司（具有良好开发的数据集）和/或保险公司财团的数据集的数据集可由较小的保险公司杠杆。还描述了相关技术，装置，系统和制品。

10. 发明申请

US20090248438A1 Characterizing relationships among procedures using similarity metrics 有权
标题翻译：使用相似性指标来表征程序之间的关系
公开(公告)号：US20090248438A1
公开(公告)日：2009-10-01
申请号：US12057243
申请日：2008-03-27
申请人： Michael Tyler , Moiz Saifee , Nitin Basant , Shafi Rahman
发明人： Michael Tyler , Moiz Saifee , Nitin Basant , Shafi Rahman
IPC分类号： G06Q50/00 , G06Q99/00 , G06F17/11
CPC分类号： G06Q50/22 , G06F19/00 , G06Q10/10 , G06Q30/0185 , G06Q50/24
摘要： Data is received that characterizes a plurality of procedures for a single event. Thereafter, one or more dynamically determined groups are associated with the plurality of procedures, the dynamically determined groups being generated from similarity metrics derived from a plurality of historical procedures for a plurality of historical events. A likelihood of the plurality of procedures being associated with the single event can then be determined based on the associated one or more dynamically determined groups. This determined likelihood can be used to determine whether the data is indicative of fraud. Related apparatus, systems, techniques and articles are also described.
摘要翻译：收到表征单个事件的多个过程的数据。此后，一个或多个动态确定的组与多个过程相关联，动态确定的组是从多个历史事件的多个历史过程导出的相似性度量生成的。然后可以基于相关联的一个或多个动态确定的组来确定多个过程与单个事件相关联的可能性。该确定的可能性可用于确定数据是否表示欺诈。还描述了相关设备，系统，技术和物品。

你已经成功收藏专利！

检索式保存成功!

IPRDB

热门服务

关于我们

友情链接

联系方式