Abstract: Methods and systems for generating episodes of activity, such as episodes of care. One method includes generating, by a processor, a graphical user interface for display to a user. The method also includes receiving, by a processor, (1) a first selection of a trigger event for an episode of care from the user through the graphical user interface, (2) a second selection of at least one time period for the episode of care from the user through the graphical user interface, and (3) a third selection of at least one claim category for the episode of care from the user through the graphical user interface. The method further includes creating, by the processor, parameters for the episode of care based on the first, second, and third selections, wherein the parameters are applied to a plurality of medical claims to group at least two of the plurality of medical claims.

Abstract: Methods and systems for generating episodes of activity, such as episodes of care. One method includes generating, by a processor, a graphical user interface for display to a user. The method also includes receiving, by a processor, (1) a first selection of a trigger event for an episode of care from the user through the graphical user interface, (2) a second selection of at least one time period for the episode of care from the user through the graphical user interface, and (3) a third selection of at least one claim category for the episode of care from the user through the graphical user interface. The method further includes creating, by the processor, parameters for the episode of care based on the first, second, and third selections, wherein the parameters are applied to a plurality of medical claims to group at least two of the plurality of medical claims.

Abstract: Methods and systems for providing a user interface for building a graphical flowchart that represents a database query. One method includes presenting a plurality of flowchart step types, wherein each of the flowchart step types is associated with a different logical expression format. The method also includes receiving a selection of one of the plurality of flowchart step types, presenting at least one expression option for the logical expression format of the selected flowchart step type, and receiving at least one input for the expression option. The method further includes generating a graphical flowchart step associated with a logical expression, wherein the logical expression is based on the at least one input and the logical expression format of the selected flowchart step type. The method also includes displaying the graphical flowchart step and automatically generating a database query corresponding to the logical expression associated with the displayed graphical flowchart step.