AUTOMATION OF AUDITING CLAIMS
First Claim
1. A computerized auditing method comprising:
- receiving, via a processor, a data file comprising one or more auditable items, each auditable item comprising a word string having one or more words;
translating, using the processor, each word string for each auditable item using one or more translation steps into a translated item description;
comparing, using the processor, each translated item description to a plurality of terms to generate matching information;
associating, using the processor, each translated item description with an item identifier based on the matching information; and
accepting, using the processor, or rejecting each auditable item based on the item identifier and one or more rules associated with the data file.
8 Assignments
0 Petitions
Accused Products
Abstract
Described are computer-based methods and apparatuses, including computer program products, for automation of auditing claims. A data file is received comprising one or more auditable items, each auditable item comprising a word string having one or more words. Each word string for each auditable item is translated using one or more translation steps into a translated item description. Each translated item description is compared to a plurality of terms to generate matching information. Each translated item description is associated with an item identifier based on the matching information. Each auditable item is accepted or rejected based on the item identifier and one or more rules associated with the data file.
3 Citations
47 Claims
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1. A computerized auditing method comprising:
- receiving, via a processor, a data file comprising one or more auditable items, each auditable item comprising a word string having one or more words;
translating, using the processor, each word string for each auditable item using one or more translation steps into a translated item description;
comparing, using the processor, each translated item description to a plurality of terms to generate matching information;
associating, using the processor, each translated item description with an item identifier based on the matching information; and
accepting, using the processor, or rejecting each auditable item based on the item identifier and one or more rules associated with the data file. - View Dependent Claims (2, 3, 5, 6, 12, 13, 14, 17, 18, 19, 20, 21, 22, 44)
- receiving, via a processor, a data file comprising one or more auditable items, each auditable item comprising a word string having one or more words;
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4. (canceled)
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7-11. -11. (canceled)
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15-16. -16. (canceled)
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23-37. -37. (canceled)
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38. A computerized auditing method comprising:
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receiving, via a processor, a data file comprising one or more auditable items, each auditable item being a line item from an insurance claim file, where each auditable item comprises a word string having one or more words; translating, using the processor, each word string for each auditable item using one or more translation steps into a translated item description, including automatically translating an operational item from the one or more auditable items, the operational item being an auditable item that does not involve a physical removal of a vehicle part or replacement of a vehicle part with a replacement part; associating, using the processor, each translated item description with an item identifier; and using the processor, accepting or rejecting each auditable item based on the item identifier and one or more rules associated with the data file. - View Dependent Claims (39, 45)
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40. A computerized auditing method comprising:
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receiving, via a processor, an insurance data file comprising one or more auditable items, each auditable item comprising a word string having one or more words; translating, using the processor, each word string for each auditable item using one or more translation steps into a translated item description, including automatically translating an operational item from the one or more auditable items, the operational item being an auditable item that does not involve replacement of a vehicle part with a replacement part; associating, using the processor, each translated item description with an item identifier; and using the processor, accepting an auditable item based on the item identifier and one or more rules associated with the data file. - View Dependent Claims (41)
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42. A computerized vehicle insurance auditing system comprising:
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a processor coupled to a nontransitory computer readable storage medium having stored therein software instructions that, when executed by the processor, cause the processor to perform a series of operations including; receiving, via the processor, a data file comprising one or more auditable items, each auditable item being a line item from an insurance claim file, each auditable item comprising a word string having one or more words; translating, using the processor, each word string for each auditable item using one or more translation steps into a translated item description; associating, using the processor, each translated item description with an item identifier; and using the processor, automatically determining whether to accept or reject each auditable item based on the item identifier and one or more rules associated with the data file. - View Dependent Claims (46)
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43. A nontransitory computer readable storage medium having stored therein software instructions that, when executed by a processor, cause the processor to perform a series of operations including:
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receiving an insurance data file comprising one or more auditable items, each auditable item comprising a word string having one or more words; translating each word string for each auditable item using one or more translation steps into a translated item description; comparing each translated item description to a plurality of terms to generate matching information; associating each translated item description with an item identifier based on the matching information; and determining whether to accept or reject each auditable item based on the item identifier and one or more rules associated with the data file. - View Dependent Claims (47)
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Specification