Patents

US 12210590 B2: Systems and methods for an artificial intelligence/machine learning medical claims platform

Granted
2025-01-28
Filed
2022-01-04 application 17646996
Type
Utility · 33 claims
Elsewhere
Google Patents ↗ · USPTO patent document ↗ · USPTO Patent Center record ↗

Abstract

Embodiments of various systems, methods, and devices are disclosed for generating artificial intelligence or machine learning models for predicting denials of medical claims, predicting approvals of resubmitted medical claims, as well as automatic workflow clustering processes for automatically assigning medical claims to workflow queues using predictive segmentation and smart resource allocation.

Source: PVGPATDIS, file of 2026-04-10 (ipg250128.xml).

Assignees

AssigneeTypePlaceAlso on furp.orgSource
Experian Health, Inc. 29 patentsUS company or organizationFranklin, TNPVGPATDIS, file of 2026-04-10

Inventors

InventorPlacePatentsPerson pageSource
Johnathan P. MenardHamden, CT1PVGPATDIS, file of 2026-04-10
Robert J. StuckerLas Vegas, NV1PVGPATDIS, file of 2026-04-10
Elsie E. HenryWilkes-Barre, PA1PVGPATDIS, file of 2026-04-10
Ali SaffariDiamond Bar, CA29PVGPATDIS, file of 2026-04-10
John R. BushNaperville, IL2PVGPATDIS, file of 2026-04-10
Robert P. HattoriDavis, CA2PVGPATDIS, file of 2026-04-10
Harry David HickeyChicago, IL1PVGPATDIS, file of 2026-04-10

CPC categories

SubclassCategoryFirst groupSource
G06FElectric digital data processingG06F18/217PVGPATDIS, file of 2026-04-10
G06NComputing arrangements based on specific computational modelsG06N3/044PVGPATDIS, file of 2026-04-10

Cooperative Patent Classification, as currently assigned (one row per subclass).

Assignments and security interests

RecordedWhatFromToReel/frameSource
2023-09-22Assignment
Assignment of assignor's interest
HICKEY, HARRY DAVID signed 2022-02-15EXPERIAN HEALTH, INC. FRANKLIN, TN64998/759PASDL, file of 2026-10-15
2023-09-22Assignment
Assignment of assignor's interest
HATTORI, ROBERT P. signed 2022-02-11EXPERIAN HEALTH, INC. FRANKLIN, TN64998/717PASDL, file of 2026-10-15
2023-09-22Assignment
Assignment of assignor's interest
BUSH, JOHN R. signed 2022-05-05EXPERIAN HEALTH, INC. FRANKLIN, TN64998/690PASDL, file of 2026-10-15
2023-09-22Assignment
Assignment of assignor's interest
SAFFARI, ALI signed 2022-02-11EXPERIAN HEALTH, INC. FRANKLIN, TN64998/671PASDL, file of 2026-10-15
2023-09-22Assignment
Assignment of assignor's interest
HENRY, ELSIE E. signed 2022-02-08EXPERIAN HEALTH, INC. FRANKLIN, TN64998/641PASDL, file of 2026-10-15
2023-09-22Assignment
Assignment of assignor's interest
STUCKER, ROBERT J. signed 2022-02-08EXPERIAN HEALTH, INC. FRANKLIN, TN64998/610PASDL, file of 2026-10-15
2023-09-22Assignment
Assignment of assignor's interest
MENARD, JOHNATHAN P. signed 2022-02-11EXPERIAN HEALTH, INC. FRANKLIN, TN64998/591PASDL, file of 2026-10-15

Documents recorded with the USPTO Assignment Recordation Branch that list this patent. A security interest is a lender’s claim on the patent as collateral; a release ends it.

USPTO bulk data: PatentsView granted patents, disambiguated (PVGPATDIS) for patents, assignees, inventors, places and CPC categories; the USPTO Patent Assignment Dataset (ECORSEXC) for assignments and security interests. Patents filed in the last 20 years. No claims or full text. Links to other records are by name (and state): EXACT means the identical full name and state; FUZZY means a looser name match, with the confidence shown.