Abstract: An entity may generate generic notifications for transmittal to a plurality of customers. One of the notifications may not be properly customized for a customer to whom the notification is scheduled for deployment. A system is provided that generates and refines generic notifications using artificial intelligence (“AI”). The system may include an application server running an AI engine for periodically monitoring, at a given point in time, historical customer data relating to less than a predetermined number of customers to ensure reduced, relative to a predetermined baseline, processing usage. The AI engine may determine, during the monitoring, that notifications transmitted by the platform to one of the customers have failed to elicit a positive response from the customer. The determination may prompt the AI engine to put the generic notification on hold for the customer and to perform additional steps to alter the generic notification to a targeted notification.

Abstract: An entity may generate generic notifications for transmittal to a plurality of customers. One of the notifications may not be properly customized for a customer to whom the notification is scheduled for deployment. A system is provided that generates and refines generic notifications using artificial intelligence (“AI”). The system may include an application server running an AI engine for periodically monitoring, at a given point in time, historical customer data relating to less than a predetermined number of customers to ensure reduced, relative to a predetermined baseline, processing usage. The AI engine may determine, during the monitoring, that notifications transmitted by the platform to one of the customers have failed to elicit a positive response from the customer. The determination may prompt the AI engine to put the generic notification on hold for the customer and to perform additional steps to alter the generic notification to a targeted notification.

Abstract: A system for validating medical claim data receives a first and second medical claim, each respectively associated with a first and a second healthcare classification system, receives claim edit criteria, stores the first and second medical claims in association with the first and the second classification systems, respectively, validates the stored medical claims by applying the received claim edit criteria to one of the stored medical claims and to the associated classification system, and graphically displays selected results of the validating.

Abstract: A neutrality analysis system includes receives existing claim data including at least one existing healthcare code associated with a first classification system, receives new claim data including a plurality of new healthcare codes associated with a second classification system, wherein the at least one existing healthcare code is mapped to the at least one new healthcare code, receives a plurality of payment codes associated with the at least one existing healthcare code and the at least one new healthcare code, and based on the received plurality of payment codes, calculates payments of the received existing and new claim data, respectively, and based on the calculating, selects a financially neutral new healthcare code of the plurality of new healthcare codes.

Abstract: A system for analyzing an impact of a software migration on a codebase includes a data management module to receive user-selected input of a codebase that supports international classification of diseases, ninth revision (ICD-9) codes and that contains a plurality of lines of source code and a plurality of codebase components, to receive user selection of at least one search string and to analyze the codebase using the at least one search string to identify at least one of each impacted line of the plurality of lines of source code in the codebase and each impacted codebase component, each impacted line of source code and each impacted codebase component requiring modification in order to support migration from ICD-9 codes to international classification of diseases, tenth revision (ICD-10) codes, and produce at least one report of a result of the analysis of the codebase.

Abstract: A system for automatically modifying source code to accommodate a software migration receives a software codebase a software codebase that supports international classification of diseases, ninth revision (ICD-9) codes and that contains a plurality of lines of source code, receives a codebase impact assessment report identifying each impacted line of the plurality of lines of source code in the codebase, each impacted line requiring modification in order to support migration from ICD-9 codes to international classification of diseases, tenth revision (ICD-10) codes, and automatically modifies the codebase by modifying each impacted line of source code identified in the codebase impact assessment report so that the modified codebase supports migration from ICD-9 codes to ICD-10 codes.

Abstract: A system for analyzing an impact of a software migration on a codebase includes a data management module to receive user-selected input of a codebase that supports international classification of diseases, ninth revision (ICD-9) codes and that contains a plurality of lines of source code and a plurality of codebase components, to receive user selection of at least one search string and to analyze the codebase using the at least one search string to identify at least one of each impacted line of the plurality of lines of source code in the codebase and each impacted codebase component, each impacted line of source code and each impacted codebase component requiring modification in order to support migration from ICD-9 codes to international classification of diseases, tenth revision (ICD-10) codes, and produce at least one report of a result of the analysis of the codebase.

Abstract: A system for automatically modifying source code to accommodate a software migration receives a software codebase a software codebase that supports international classification of diseases, ninth revision (ICD-9) codes and that contains a plurality of lines of source code, receives a codebase impact assessment report identifying each impacted line of the plurality of lines of source code in the codebase, each impacted line requiring modification in order to support migration from ICD-9 codes to international classification of diseases, tenth revision (ICD-10) codes, and automatically modifies the codebase by modifying each impacted line of source code identified in the codebase impact assessment report so that the modified codebase supports migration from ICD-9 codes to ICD-10 codes.

Abstract: A neutrality analysis system includes receives existing claim data including at least one existing healthcare code associated with a first classification system, receives new claim data including a plurality of new healthcare codes associated with a second classification system, wherein the at least one existing healthcare code is mapped to the at least one new healthcare code, receives a plurality of payment codes associated with the at least one existing healthcare code and the at least one new healthcare code, and based on the received plurality of payment codes, calculates payments of the received existing and new claim data, respectively, and based on the calculating, selects a financially neutral new healthcare code of the plurality of new healthcare codes.

Abstract: A system for validating medical claim data receives a first and second medical claim, each respectively associated with a first and a second healthcare classification system, receives claim edit criteria, stores the first and second medical claims in association with the first and the second classification systems, respectively, validates the stored medical claims by applying the received claim edit criteria to one of the stored medical claims and to the associated classification system, and graphically displays selected results of the validating.

Abstract: A system for translating healthcare codes from a first healthcare classification system to a second healthcare classification system may receive a first plurality of healthcare codes associated with the first healthcare classification system, receive a second plurality of healthcare codes associated with the second healthcare classification system, and map at least one of the first plurality to at least one of the second plurality according to user-defined parameters.