{"schema_version":"1.0","canonical_url":"https://patentable.app/patents/US-10546099","patent":{"patent_number":"US-10546099","title":"Method of personalizing, individualizing, and automating the management of healthcare fraud-waste-abuse to unique individual healthcare providers","assignee":null,"inventors":[],"filing_date":"2015-12-31T00:00:00.000Z","publication_date":"2020-01-28T00:00:00.000Z","cpc_codes":["G06Q","G06Q","G16H","G06N"],"num_claims":6,"abstract":"A method of preventing healthcare fraud-waste-abuse uses artificial intelligence machines to limit financial losses. Healthcare payment request claims are analyzed by predictive models and their behavioral details are compared to running profiles unique to each healthcare provider submitting the claims. A decision results that the instant healthcare payment request claim is or is not fraudulent-wasteful-abusive. If it is, a second analysis of a group behavioral in which the healthcare provider is clustered using unsupervised learning algorithms and compared to a running profile unique to each group of healthcare providers submitting the claims. An overriding decision results if the instant healthcare payment request claim is or is not fraudulent-wasteful-abusive according to group behavior."},"analysis":{"summary":null,"layman_explanation":null,"technical_analysis":null,"business_analysis":null,"faqs":null,"topics":[],"tech_cluster":null},"seo":{"title":"Method of personalizing, individualizing, and automating the management of healthcare fraud-waste-abuse to unique individual healthcare providers","description":"A method of preventing healthcare fraud-waste-abuse uses artificial intelligence machines to limit financial losses. Healthcare payment request claims are analyzed by predictive models and their behav","keywords":[]},"attribution":{"source":"Patentable","source_url":"https://patentable.app","canonical_url":"https://patentable.app/patents/US-10546099","license":"CC-BY-4.0-like","license_terms":"AI-generated analysis on this page (summary, layman_explanation, technical_analysis, business_analysis, faqs) may be reused with attribution and a visible link back to the canonical URL above. Patent abstracts, claims, and bibliographic data are USPTO public domain.","required_link":"https://patentable.app/patents/US-10546099","citation_suggestion":"Patentable. \"Method of personalizing, individualizing, and automating the management of healthcare fraud-waste-abuse to unique individual healthcare providers\" (US-10546099). https://patentable.app/patents/US-10546099","copyright_holder":"Nomic Interactive Technology LLC"},"links":{"html":"https://patentable.app/patents/US-10546099","json":"https://patentable.app/api/llm-context/US-10546099","site":"https://patentable.app","llms_txt":"https://patentable.app/llms.txt"},"generated_at":"2026-05-31T05:03:25.552Z"}