Abstract: A pathway identification system includes processor and memory hardware. The memory hardware stores a pathway database including pathways corresponding to at least one pathway parameter, a framework database including a set of framework transformation models, and instructions. The instructions include, in response to receiving a first pathway parameter corresponding to a user, identifying a subset of pathways of the pathways corresponding to the first pathway parameter. The instructions include obtaining a first set of framework transformation models from the framework database, determining a pathway value for each pathway of the subset of pathways using the first set of framework transformation models, and selecting at least one pathway of the subset of pathways based on the corresponding pathway value. The instructions include transmitting information encoding the at least one pathway to the operator device and transforming a user interface of the operator device to display the at least one pathway.
Type:
Grant
Filed:
October 24, 2022
Date of Patent:
March 5, 2024
Assignee:
Evicore Healthcare MSI, LLC
Inventors:
Robinson Ortiz, Colleen H. Karvetski, Lauren Murray, Stephen A. Hamilton, Eric J. Gratias
Abstract: A computerized method of automatically processing a medical imaging record using a machine learning model includes training a machine learning model prediction engine with historical medical imaging records, receiving a first medical imaging record from a first system, applying a set of specified approval criteria to the first medical imaging record to determine a provisional outcome, and in response to the provisional outcome being negative, selectively identifying an exception to the provisional outcome in response to input received by a user interface. In response to the exception not being identified, the method includes inputting a feature vector based on the first medical imaging record to the machine learning model prediction engine to generate a likelihood estimate, comparing the generated likelihood estimate to a target threshold, and in response to the generated likelihood estimate being greater than the target threshold, transmitting a signal indicating approval to the first system.
Type:
Grant
Filed:
December 17, 2020
Date of Patent:
December 19, 2023
Assignee:
Evicore Healthcare MSI, LLC
Inventors:
William K. Cochran, Bijuna S. Pramila, Han Van Vo, Hari C. Narayanan, Navin Rai
Abstract: A pathway identification system includes processor and memory hardware. The memory hardware stores a pathway database including pathways corresponding to at least one pathway parameter, a framework database including a set of framework transformation models, and instructions. The instructions include, in response to receiving a first pathway parameter corresponding to a user, identifying a subset of pathways of the pathways corresponding to the first pathway parameter. The instructions include obtaining a first set of framework transformation models from the framework database, determining a pathway value for each pathway of the subset of pathways using the first set of framework transformation models, and selecting at least one pathway of the subset of pathways based on the corresponding pathway value. The instructions include transmitting information encoding the at least one pathway to the operator device and transforming a user interface of the operator device to display the at least one pathway.
Type:
Grant
Filed:
January 11, 2021
Date of Patent:
October 25, 2022
Assignee:
eviCore Healthcare MSI, LLC
Inventors:
Robinson Ortiz, Colleen H. Karvetski, Lauren Murray, Stephen A. Hamilton, Eric J. Gratias