US Patent Issued to Four Points Health Solutions on Nov. 3 for "Automated claim integrity system" (Florida, Missouri Inventors)

ALEXANDRIA, Va., Nov. 3 -- United States Patent no. 12,784,113, issued on Nov. 3, was assigned to Four Points Health Solutions (Wentzville, Mo.).

"Automated claim integrity system" was invented by Jeff Hatfield (Wentzville, Mo.) and Chris Rogers (Bokeelia, Fla.).

According to the abstract* released by the U.S. Patent & Trademark Office: "A system implements a method for managing claim integrity in healthcare revenue cycle management by collecting a dataset from electronic health records and payer records, including historical medical claims with approval and denial outcomes. Machine learning engines train models using patterns in claim denial outcomes. The system receives real-time data, including medical claims awaiting submission. Machi...