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383 results about "Case management" patented technology
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Automated Healthcare Risk Management System Utilizing Real-time Predictive Models, Risk Adjusted Provider Cost Index, Edit Analytics, Strategy Management, Managed Learning Environment, Contact Management, Forensic GUI, Case Management And Reporting System For Preventing And Detecting Healthcare Fraud, Abuse, Waste And Errors
InactiveUS20140081652A1Facilitate and enhance and implement multiple investigator decisionResource optimizationFinancePayment architectureLower riskMedical education
The Automated Healthcare Risk Management System is a real-time Software as a Service application which interfaces and assists investigators, law enforcement and risk management analysts by focusing their efforts on the highest risk and highest value healthcare payments. The system's Risk Management design utilizes real-time Predictive Models, a Provider Cost Index, Edit Analytics, Strategy Management, a Managed Learning Environment, Contact Management, Forensic GUI, Case Management and Reporting System for individually targeting, identifying and preventing fraud, abuse, waste and errors prior to payment. The Automated Healthcare Risk Management System analyzes hundreds of millions of transactions and automatically takes actions such as declining or queuing a suspect payment. Claim payment risk is optimally prioritized through a Managed Learning environment, from high risk to low risk for efficient resolution by investigators.
Owner:RISK MANAGEMENT SOLUTIONS
Methods and systems for transaction compliance monitoring
InactiveUS20050209876A1Low costQuality improvementDigital data information retrievalFinanceCompliance MonitoringData source
An automated transaction integrity monitoring system (100) operative to monitor electronic transactions of an enterprise and detect exceptions indicating noncompliance with enterprise policies. An extractor (140) obtains data from heterogeneous data sources such as enterprise databases. A staging database (155) caches data from the data sources. A mapper (150) maps enterprise data into an enterprise ontology used to express enterprise policies. A knowledge base (165) stores computer-executable policy statements, extractor data, and mapper data. A monitoring database (175) stores data mapped in the enterprise ontology. A collaborative reasoning engine (CORE) (160) executes policy statements against the monitoring database and determines exceptions. An exceptions database (185) stores exceptions from CORE. A case management system (190) provides for analysis and tracking of exceptions.
Owner:OVERSIGHT TECH
System and method for providing virtual arbitration
A system for facilitating users to perform automated arbitration proceeding over a communication network via a virtual arbitration centre in a cloud computing environment is provided. The system comprises virtual arbitration modules in the virtual arbitration centre to provide cloud-based arbitration service over the communication network to users at remote locations. The system further comprises electronic devices to facilitate the users to access the cloud-based virtual arbitration service via a web-based user interface on the electronic devices. The virtual arbitration modules comprise a cloud-based repository configured to store predetermined rules and data related to arbitration. The virtual arbitration modules further comprise a case management module to facilitate secure cloud-based communication of the arbitration related data between the users and to facilitate the users to conduct an auto mated online arbitration proceeding by performing cloud computing on the arbitration related data and the predetermined rules employing cloud computing components.
Owner:SHROFF SHARDUL SURESH
Methods and systems for mapping transaction data to common ontology for compliance monitoring
InactiveUS20080082374A1Improve performanceMinimizes financial lossDigital data information retrievalFinanceCompliance MonitoringData source
Owner:KENNIS PETER H +7
Methods and systems for compliance monitoring knowledge base
ActiveUS20060212486A1Reduced asset lossImprove operational efficiencyDigital data information retrievalFinanceCompliance MonitoringMonitoring system
A knowledge base and methods for use in connection with a policy compliance monitoring system operative to determine exceptions to policies expressed by computer-executable policy statements. The system allows establishment, codification, and maintenance of enterprise policies, monitors electronic transactions of the enterprise from various and possibly heterogeneous data sources, detects exceptions to established policies, reports exceptions to authorized users such as managers and auditors, and / or provides a case management system for tracking exceptions and their underlying transactions. The knowledge base comprises extractor files that are utilized for extracting information from data sources for utilization in policy compliance monitoring, a mapper for normalizing data from the data sources against a system ontology and storing normalized data in a monitoring database, and computer-executable compliance policy statements used by a transaction analysis engine. The policy statements represent predetermined policies of the enterprise that apply to data stored in the monitoring database.
Owner:OVERSIGHT SYST INC
Webstation: configurable web-based workstation for reason driven data analysis
ActiveUS7418431B1Overcome limitationsQuick navigationDigital computer detailsDigital dataFrame basedWorkstation
Owner:FAIR ISAAC & CO INC
Systems and methods for assessing and optimizing healthcare administration
InactiveUS20100280851A1Address bad outcomesCost-effectiveMedical data miningData processing applicationsChronic conditionPatient data
A comprehensive patient data assessment system and method for use in generating, tracking and analyzing medical data related to healthcare administered by a group of physicians to a specified patient population. The system is operative to track data related to the claims history, case management, pharmacy data, and lab tests / results for each patient treated by each patient's primary care physician preferably through electronic medical records that are accessible over a computer network. The system is operative to generate data indicative of the utilization of healthcare resources utilized to treat each patient within the patient population, as well as ensure that each primary care physician utilizes appropriate codes for each diagnosis and procedure / test administered to each patient. The system further provides for categorization of patients afflicted with chronic conditions that require high-cost care. The systems are exceptionally effective in conserving medical resources, ensuring uniformity in administering healthcare, and achieving optimal patient outcomes.
Owner:MERKIN RICHARD
Methods and systems for monitoring transaction entity versions for policy compliance
ActiveUS20060212487A1Low costQuality improvementDigital data information retrievalFinanceData ingestionData source
A system for determining lack of compliance of a transactional entity with an enterprise policy by maintaining an historical record of the entity as changes are made over time. The system allows establishment, codification, and maintenance of enterprise policies, monitors electronic transactions of the enterprise from various data sources, detects exceptions to established policies, reports exceptions to authorized users such as managers and auditors, and / or provides a case management system for tracking exceptions and their underlying transactions. A master data extractor establishes an initial instance of a transactional entity in a monitoring database. A changed data extractor is responsive to changed data for establishing a subsequent instance of the transactional entity in the monitoring database. A transaction analysis engine applies predetermined policy rules to data in the monitoring database to determine lack of compliance of the initial and subsequent instances of the transactional entity with enterprise policies.
Owner:OVERSIGHT SYST INC
Method and apparatus for promoting taxpayer compliance
InactiveUS6912508B1Improve taxpayer complianceFacilitate complianceComplete banking machinesFinanceDecision managementComputer science
A method and apparatus for promoting taxpayer compliance. A computer-implemented data mining system mines taxpayer data to identify taxpayer profiles for taxpayer compliance issues. A computer-implemented decision management system assigns the identified taxpayer profiles into groups based on characteristics of the taxpayer profiles. A computer-implemented case management system implements different treatments to different groups, to improve taxpayer compliance.
Owner:CGI TECH & SOLUTIONS
Programming toolkit for developing case management software applications
InactiveUS20070174810A1Reduce riskLow costSoftware designSpecific program execution arrangementsOff the shelfSoftware engineering
A robust toolkit that can be configured and assembled in an object-oriented manner to develop a custom case management software application. The toolkit provides a set of software components that serve as a framework for integration with off-the-shelf components. The software components are organized in a vertical layered architecture, with each layer depending upon the layers below it. The toolkit includes a top enterprise application layer, a middle case management application layer, and a bottom customized application layer. The toolkit allows developer to focus on meeting the specific case management needs of a target business / organization, instead of developing case management business logic and application logic from the ground up.
Owner:CONCURRENT TECH
Utilizing spreadsheet user interfaces with flowsheets of a cpi simulation system
InactiveUS20100262900A1Shorten the timeSimulator controlAnalogue computers for chemical processesElectronic formParallel computing
A simulation system includes at least one processor configured to execute a computer program product, stored upon a storage medium. The computer program product includes a spreadsheet application, a process simulation application, and an integration tool (e.g., eSim), where the spreadsheet application and the process simulation application are discrete, stand alone products. The process simulation application can simulate chemical processes using at least one flowsheet, which models a general flow of chemical plant processes and equipment. The integration tool can map process simulation application objects and properties to spreadsheet application objects, can convey information between mapped objects, can perform case management functions, and can perform orchestrated calculation functions.
Owner:HONEYWELL INT INC
Methods and systems for compliance monitoring knowledge base
ActiveUS7937319B2Low costQuality improvementDigital data information retrievalFinanceCompliance MonitoringData store
A knowledge base and methods for use in connection with a policy compliance monitoring system operative to determine exceptions to policies expressed by computer-executable policy statements. The system allows establishment, codification, and maintenance of enterprise policies, monitors electronic transactions of the enterprise from various and possibly heterogeneous data sources, detects exceptions to established policies, reports exceptions to authorized users such as managers and auditors, and / or provides a case management system for tracking exceptions and their underlying transactions. The knowledge base comprises extractor files that are utilized for extracting information from data sources for utilization in policy compliance monitoring, a mapper for normalizing data from the data sources against a system ontology and storing normalized data in a monitoring database, and computer-executable compliance policy statements used by a transaction analysis engine. The policy statements represent predetermined policies of the enterprise that apply to data stored in the monitoring database.
Owner:OVERSIGHT SYST INC
Safety critical system-oriented automatic testing resource management method and platform
InactiveCN102331970ASupport black box testingEasy to operateSoftware testing/debuggingEntity typeResource management
The invention relates to a safety critical system-oriented automatic testing resource management method and a safety critical system-oriented automatic testing resource management platform, which are applied to a huge safety critical system with a high requirement on safe reliability. In the method, a testing project is established after a user passes authentication, three management types, namely testing case management, testing process management and document management are set, and a user selects a corresponding management type to perform resource testing management. The platform has a qualification test (Qt) library-based client / server (C / S) framework on the basis of a management platform; a server is taken as a database; a client comprises a core module, a testing case management module, a testing process management module, a document management module and a Bug management module; and the tree structure and the entity type node data of testing resources and operation on the data are defined by the modules of the client. Uniform management on the automatic testing resources of the safety critical system is realized, and the resource management covers a testing stage from the time, so that the black box testing of the safety critical system is effectively supported.
Owner:BEIHANG UNIV
Systems and methods for providing assistance in an emergency
ActiveUS20160353266A1Well formedEmergency connection handlingSpecial service for subscribersTelecommunications networkThe Internet
Systems and methods for providing a notification of an emergent condition. The systems and methods comprise a mobile device application executing on the processor of the user device, and communicating with a server system over a telecommunications network, which generally comprises the public Internet. The mobile device user includes a “dead man's switch” control, which begins the emergency notification process if released. The emergency alert process uses a central case management server to provide a uniform interface into key data, reducing the need for operators to provide information verbally.
Owner:NOONLIGHT INC
Systems, methods, software for integration of case law, legal briefs, and litigation documents into law firm workflow
ActiveUS20060195430A1Facilitate online accessDigital data processing detailsOffice automationWord processingPaper document
The present inventors recognized a need for improving conventional informational retrieval systems, particularly those intended for retrieval of legal information. Accordingly, they devised systems, methods, and software that facilitate online access to documents, such as non-opinion legal documents, in context of a legal workflow. An exemplary method of operation includes determining that a user of a client access device is performing a litigation-related task using a word-processing application on the client-access device. And in response to an affirmative determination, providing trial court materials relevant to the litigation-related task to the client access device without the user leaving the word-processing application. In some embodiments, the word-processing application is launched from a case-management application that provides case, activity, and role information to the online legal research system.
Owner:THOMSON REUTERS ENTERPRISE CENT GMBH
Methods and systems for entity linking in compliance policy monitoring
InactiveUS20080082377A1Low costQuality improvementDigital data information retrievalFinanceEntity linkingData source
A system for linking entities associated with electronic transactions that are monitored for compliance with predetermined compliance policies of an enterprise. The system allows establishment, codification, and maintenance of enterprise policies, monitors electronic transactions of the enterprise from various data sources, detects exceptions to established policies, reports exceptions to authorized users such as managers and auditors, and / or provides a case management system for tracking exceptions and their underlying transactions. A monitoring database stores data corresponding to monitored transactions and support entities. A transactions analysis engine executes computer-executable compliance policy statements against the monitoring database to determine whether a transaction has indicated an exception to a policy. The transaction analysis engine retrieves information corresponding to a particular prestored support entity that causes an exception. Information is retrieved corresponding to other support entities that are related to the particular prestored support entity, so as to link related transactional entities.
Owner:KENNIS PETER H +7
Utilizing spreadsheet user interfaces with flowsheets of a CPI simulation system
InactiveUS9053260B2Simulator controlAnalogue computers for chemical processesParallel computingApplication object
Owner:HONEYWELL INT INC
Advisory systems and methods
InactiveUS20080062895A1Reduce deliverySpecial service provision for substationMultiplex system selection arrangementsComputer scienceEnd user
A method, computer program product and computer platform for delivering allowing an advisory services provider to provide advisory services to an organisation is described. Information relating to a plurality of different topics is accessible over a computer network by a plurality of end users of the organisation. Access to the information by the end users is monitored. It is determined when information relating to a topic identified as being high risk or complicated has been accessed by an end user. The method then ensures that a communication between the end user and an individual authorised to advise on the topic is initiated to allow advice to be provided to the end user. The advisory services platform can include a content delivery module operable to provide a website to the end users and also operable to monitor and track access to the information by end users. A call and case management module can interact with the content delivery module to record details of communications between the end users and call coordinators and / or advisors.
Owner:ADVISERPLUS BUSINESS SOLUTIONS
Automatic test system
InactiveCN104601403ASave time on manual testingImprove efficiencyData switching networksThe InternetTask management
The invention belongs to the technical field of internet test, and particularly relates to an automatic test system. The automatic test system comprises an interface management module, a use case management module, a task management module, a test environment management module, a tool module and an authority management module, wherein the interface management module is used in information configuration of an invoking address and a communication protocol of an interface, the use case management module is used to create test use cases, upload a use case file and modify corresponding use case information, the task management module is used in creation of a test task, selection configuration of an interface case, notification of a modification task and creation of a task expression, the test environment management module is used to configure information of a test environment, and a port and a database which are invoked by the interface, and the tool module is used to configure public services of the interface and the use case management module. The automatic test system is high in efficiency and saves time in an automatic regression test, and furthermore is convenient to debug due to the fact that test personnel use the interface to configure and organize the cases.
Owner:SHANGHAI HANDPAL INFORMATION TECH SERVICE
Case management system
ActiveUS20160110688A1Efficiently store and manageOffice automationWebsite content managementThird partyDocumentation
A content management system is disclosed for documents and other content for a system operating in legal environment referred to herein as a case management system. The case management system allows attorneys in a legal environment to efficiently store and manage content for their client and case matters. Furthermore, the system encourages attorneys to collaborate with fellow co-workers, clients, and third parties (e.g. expert witnesses) in a secure and confidential environment. The case management system enables attorneys to maintain case files and associated documents more efficiently and thus allow law films to more productively function as a business that relies heavily upon comprehensive document files.
Owner:LEYDIG VOIT & MAYER
Filing system and implement method of distributed configured massive data
ActiveCN103036956ATo achieve the purpose of loose couplingSimplify filing stepsResource allocationTransmissionPersonalizationProcess module
Disclosed are a filing system and an implement method of distributed configured massive data. The filing system comprises a multiple filing case management module, a filing requirement receiving module, a filing requirement distributing module, a filing process information persistent module, a configuration file analysis module, a filing requirement processing module, a scanning module, a metadata analysis module, a catalogue analysis module, a filing module, a filing data extracting module, a transaction processing module and the like. Hot plug can be achieved through a configuration file according to requirements so that setting of personalized filing service is facilitated and the purpose that software can be reused highly is achieved.
Owner:SPACE STAR TECH CO LTD
Programming toolkit for developing case management software applications
InactiveUS7865875B2Low costImprove performanceSoftware designSpecific program execution arrangementsBusiness enterpriseSoftware engineering
Owner:CONCURRENT TECH
System and a method for an audit and virtual case management of a business and/or its components
InactiveUS20050273361A1Reduce financial riskSpeed up the flowFinanceMedical automated diagnosisMedicineMedical treatment
The present invention provides a system and a method for an audit of a business and / or its components. More specifically, a formula is provided that may track errors in a health care business, such as financial, department specific, and / or clinical / medical. The errors may be coded and categorized by persons other than patient care providers. Further, the present invention provides a method for identifying, qualifying, quantifying, coding, categorizing, prediction and / or mitigation of errors on a concurrent basis through, for example, point of service audits. The errors and information may be gathered during the audits and may be entered into a database. Data mining may be implemented to provide additional information in which flowcharts may be created to be used as a case management tool.
Owner:BUSCH REBECCA S
Railway emergency commanding system
InactiveCN102346886AVersatileSimple and fast operationData processing applicationsRailway traffic control systemsControl systemComputer module
The invention discloses a railway emergency commanding system, which comprises an emergency system, a recording and playing system and a visual central control system, wherein the emergency system comprises a monitoring early-warming module, an emergency commanding module, a rehabilitation module, a daily emergency management module, an information submission module, a plan management module, a case management module, a training and drilling module and the like; the visual central control system shows the monitoring of a system through a large screen; and a recording and playing system records the content shown by the large screen. In the invention, all emergency resources are organically combined together, and with related surrounding supporting equipment, the railway emergency commanding system which is complete and high-efficient, has complete functions and is simple to operate is formed.
Owner:北京国正信安系统控制技术有限公司
Electronic exchange and settlement system for cash letter adjustments for financial institutions
An electronic exchange system is provided for input and processing of cash letter adjustments between financial institutions and their customers. The system includes a central processor or centralized exchange mechanism and established rules and procedures for operation of the exchange and centralized hardware and software that is accessible through internet or intranet connections. Data for cash letter adjustments are entered to the system by means of standardized electronic formats which may be created from a desktop application or through an electronic interface to the user's mainframe case management system. At a predetermined time, the processor completes the settlement of each of the adjustment transactions and sends the settlement requirements to each of the participating banks or financial institutions. The system also creates a net settlement file in conformity with the "Enhanced Net Settlement" requirements of the Federal Reserve Bank to provide a net settlement of those adjustments through a participant's reserve account at the host Federal Reserve Bank or through a correspondent settling on the participant's behalf at the Federal Reserve Bank. The system also provides an electronic medium for the exchange of informational requests and responses to those requests. The system provides a database of all participants with detailed contact information for each participating financial institution.
Owner:THE CLEARING HOUSE PAYMENTS
Intelligent identity authentication system
InactiveCN107172049ASimplify the certification processGuarantee authentication securityTransmissionRisk levelRisk Control
The invention provides an intelligent identity authentication system. The intelligent identity authentication system comprises an authentication client SDK, an authentication server SDK, an authentication service proxy device, an authentication server, an authentication analysis engine and a cloud service platform, wherein the authentication client SDK is used for acquiring client information of authenticated users; the authentication server SDK is used for checking service strategies, and executing and forwarding information of an authentication client; the authentication service proxy device is used for providing a server reverse proxy when the authentication server SDK cannot implement an authentication function; the authentication server is used for managing the service strategies, authentication modes and cases, and displaying authentication analysis results; the authentication analysis engine is used for performing risk analysis based on a risk control model, wherein the risk analysis includes the steps of performing risk level scoring based on predefined rules and implementing big data analysis in combination with a big data analysis engine; and the cloud service platform dynamically adjusts identity authentication modes and requirements according to risk analysis results of the authentication server and the authentication analysis engine, performs identity authentication for the users, and returns an authentication result to the authentication analysis engine. According to the intelligent identity authentication system provided by the invention, an appropriate identity authentication mode can be selected for the users based on a risk analysis method.
Owner:北京信安世纪科技股份有限公司
Care engine
InactiveUS20090228304A1Quality improvementCost managementComputer-assisted medical data acquisitionComputer-assisted medicine prescription/deliveryHigh risk populationsPersonalization
The present invention offers a comprehensive solution to care management which aggregates, integrates and stores clinical information from disparate sources. The system finds at-risk individuals before they experience preventable, high-cost medical events and stratifies high risk populations according to clinical criteria, which can include severity of disease states and co-morbidities. The system also compares the actual care an individual is receiving to established standards of clinical excellence and, if necessary, suggests pertinent medical care considerations to improve the care of medically mismanaged individuals. Another feature of the present invention may include a secure, patient-specific Web page which is automatically populated with a patient's own clinical information and can be personalized with customized, relevant healthcare information. The system allows users to design, facilitate and monitor clinical care plans and increase communications among physicians, nurses and patients. The system also predicts and analyzes the outcome of disease or case management for populations and individual patients.
Owner:ACTIVE HEALTH
Methods and Systems for Automated, Predictive Modeling of the Outcome of Benefits Claims
InactiveUS20090222290A1Performance can be improved and optimizedMinimize claim payoutsFinanceFuzzy logic based systemsMachine learningCase management
A system for automated, predictive modeling of the outcome of a benefits claim includes a profile generator, an evaluation component, and a case management application. The profile generator executes on a computing device and retrieves a claimant profile associated with an adjudicated claim. The evaluation component executes on the computing device and generates a prediction of an outcome of a claim brought by a potential claimant of a government benefit, responsive to the retrieved claimant profile. The evaluation component generates a recommendation to file the claim for the government benefit, responsive to the generated prediction. The case management application executes on the computing device, receives the generated prediction of the outcome of the claim and the generated recommendation and displays at least one of the generated prediction and the generated recommendation.
Owner:CROWE PARADIS HLDG CO
Software unit test case management system
ActiveCN106326122AImplement component managementImprove versatilitySoftware testing/debuggingTest qualityReuse rate
The invention discloses a software unit test case management system which comprises a case automatic generation module, a basic information management module, a retrieval match module and a case management module, wherein the case automatic generation module achieves the functions of data import, data analysis, data edition and data export, can generate a batch test case TCF file and import the file into a test tool to be executed automatically; the case management module can match test cases with basic information to form a process test case and a typical test case in the case management module, form a test case set, manage the test case set and facilitate the re-edition and reuse of the test cases; the retrieval match module can quickly and efficiently retrieve the finished test cases. For the characteristics that embedded servo software is large in code quantity and high in similarity, the software unit test case management system is high in automation degree and comprehensive and standard in test case, improves the unit test efficiency and the test quality, also improves the reuse rate of the test cases, and reduces the labor cost.
Owner:BEIJING RES INST OF PRECISE MECHATRONICS CONTROLS +1
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