Method and system for classifying documents
First Claim
1. A computer system for analyzing an electronic claim file, comprising:
- an indexing database storing groups of synonyms, each synonym associated with a concept, wherein each concept forms an element in a vector;
an indexing engine, receiving an electronic claim file for analysis and comparing data in said electronic claim file to said elements in said vector to determine whether said electronic claim file contains said element; and
a scoring engine, in communication with said indexing engine and to generate a score associated with said electronic claim file based on said comparison and to compare said score with a threshold to determine a destination of said electronic claim file.
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Abstract
The invention provides a method and system for classifying insurance files for identification, sorting and efficient collection of subrogation claims. The invention determines whether an insurance claim has merit to warrant claim recovery efforts utilizing software code for partially describing a set of documents having unstructured and structured file data containing terms and phrases having contextual bases, code for transforming the terms and phrases, code for iterating a classification process to determine rules that best classify the set of documents based upon context, code for incorporating the rules into an induction and knowledge representation, thesauri taxonomies and text summarization to classify subrogation claims; code for calculating a base score and a concept vector to identify the selected claims that demonstrate a given probability of subrogation recovery.
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Citations
23 Claims
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1. A computer system for analyzing an electronic claim file, comprising:
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an indexing database storing groups of synonyms, each synonym associated with a concept, wherein each concept forms an element in a vector; an indexing engine, receiving an electronic claim file for analysis and comparing data in said electronic claim file to said elements in said vector to determine whether said electronic claim file contains said element; and a scoring engine, in communication with said indexing engine and to generate a score associated with said electronic claim file based on said comparison and to compare said score with a threshold to determine a destination of said electronic claim file. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A computer system for determining whether an insurance claim has merit to warrant recovery comprising:
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a file input module, for receiving an electronic claim file; a search and indexing engine coupled to receive said electronic claim file, for creating a dictionary of term data having synonyms relating to said electronic claim file, said search and indexing engine storing said term data in a database, wherein the database stores the synonyms in association with one or more concepts, each of said concepts forming into an element in a vector, said search and indexing engine comparing said synonyms against elements of said vector to determine whether said electronic claim file contains a stored concept element; and a scoring engine, in communication with said search and indexing system, for generating a score based on said determination of whether said electronic claim file contains said stored concept element. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19)
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20. A computerized method for determining whether an insurance claim merits recovery comprising:
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receiving an electronic claim file via a communications network; compiling said electronic claim file in a processor to develop a dictionary of term data having synonyms relating to said electronic claim file via a search and indexing engine; storing said term data in a database, wherein the database stores the synonyms in association with one or more concepts, each of said concepts forming into an element in a vector, said search and indexing engine comparing said synonyms against elements of said vector to determine whether said electronic claim file contains a stored concept element; generating a score in said processor based on said determination of whether said electronic claim file contains said stored concept element; and routing the score to one or more recipients via said communications network. - View Dependent Claims (21, 22, 23)
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Specification