Abstract: Various embodiments of the present invention provide methods, apparatus, systems, computing devices, computing entities, and/or the like for performing predictive prioritization. Certain embodiments utilize systems, methods, and computer program products that perform predictive prioritization using a combination of supervised machine learning models and unsupervised machine learning models that are in turn used to generate target features for a resultant prioritization machine learning model.

Abstract: Systems and methods are disclosed for processing medical claims to determine vector embeddings for predictive analytics and fraud detection. The method includes receiving claim data for a medical claim, the claim data comprising a plurality of medical codes. A plurality of embedding vectors is determined based on the plurality of medical codes, each embedding vector determined based on a corresponding medical code. A multi-layered matrix is determined based on the plurality of embedding vectors determined for the plurality of medical codes, wherein the multi-layered matrix is representative of the medical claim. One or more actions such as predictive analytics and fraud detection are performed based on the multi-layered matrix.

Abstract: Hierarchical data objects are generated via a computer-based system for applying a series of rules to establish episode-specific data objects reflecting a plurality of discrete claim records before further dissecting the generated episode-specific data objects prior to finalization of those episode-specific data objects to identify claim records within the episode-specific data objects that are eligible for generation of one or more sub-episodes within the episode-specific data objects. The identified sub-episodes are reflected within the episode-specific data object to designate complete episodes of care that additionally reflect interactions with the corresponding parent episode.

Abstract: Systems and methods are disclosed for scheduling appointments based on changing health conditions of users. The method includes inputting the initial health dataset of a user to a machine learning model configured to identify other users with similar health profiles. A frequency of monitoring, a frequency of appointments, a duration between the appointments, or a type and length of the appointments is determined to generate a schedule of appointments. A subsequent health dataset of the user is received, and health scores, rule scores, or medication scores for the user are determined based on the subsequent health dataset. A plurality of risk scores for the user is evaluated based on the health scores, rule scores, or medication scores. A recent risk score is determined based on a change in the plurality of risk scores. The schedule of appointments is adjusted based on the recent risk score and the user is notified.

Abstract: There is a need for more effective and efficient predictive data analysis. This need can be addressed by, for example, solutions for performing/executing hybrid input predictive data analysis.

Abstract: Various embodiments are directed to performing automated software testing configuration management operations. In one embodiment, a method is provided. The method includes generating a graph data structure including nodes representing test steps across test cases of a software testing data object for a software application platform and including segments each connecting two nodes and representing test cases having the two represented test steps. The method further includes receiving a query describing a testing change and generating extracted features from the query. The method further includes generating test outcome requirements and graph portions of the graph data structure relevant to the testing change using supervised machine learning models and the extracted features.

Abstract: A method comprises: storing, by a computing system, a relational data in a data lake; spinning-up, by an orchestration system of the computing system, an ephemeral computing node on a computing device of the computing system; importing, by the ephemeral computing node, a copy of the relational data from the data lake into a relational database management system (RDBMS) installed on the ephemeral computing node; after importing the copy of the relational data into the RDBMS, performing, by the ephemeral computing node, a computing process that runs within the RDBMS and that uses the copy of the relational data; and after completion of the computing process on the ephemeral computing node, spinning-down, by the orchestration system, the ephemeral computing node.

Abstract: Systems and methods for automatic health data processing are disclosed. One or more complaints are extracted from question and answer data of an automated patient interview. A parent-child symptom mapping is referenced to identify a respective parent symptom corresponding to each complaint. Based on the question and answer data, a presence or absence of evidence of the child symptoms associated with each identified parent symptom is determined. The child symptoms are categorized into a positive or negative category based on the determination. An object is generated that includes, for each of the complaints, a positive and negative list of any of the child symptoms included in the positive and negative category, respectively. The object is processed to generate a history of present illness (HPI) portion of a notation in a graphical format. The notation is stored in the patient's electronic health record, and a healthcare provider notification is transmitted.

Abstract: Methods, apparatus, systems, computing devices, computing entities, and/or the like for a hybrid question-answering (QA) application are provided. The hybrid QA application includes both a retrieval QA application and a deep QA application, and uses feedback from the retrieval QA application to improve the deep QA application.

Abstract: Various embodiments of the present invention provide methods, apparatus, systems, computing devices, computing entities, and/or the like for performing predictive data analysis operations. For example, certain embodiments of the present invention utilize systems, methods, and computer program products that perform predictive data analysis operations by determining an anomalous event code subset using a pairwise interaction score determination machine learning model.

Abstract: A highly secure networked system and methods for storage, processing, and transmission of sensitive information are described. Sensitive, e.g. personal/private, information is cleansed, salted, and hashed by data contributor computing environments. Cleansing, salting, and hashing by multiple data contributor computing environments occurs using the same processes to ensure output hashed values are consistent across multiple sources. The hashed sensitive information is hashed a second time by a secure facility computing environment. The second hashing of the data involves a private salt inaccessible to third parties. The second hashed data is linked to previously hashed data (when possible) and assigned a unique ID. Data dictionaries are created for particular individuals provided access to the highly secure information, e.g. researchers.

Abstract: Methods, systems, and non-transitory computer readable mediums are disclosed for recommending medically-relevant articles. One method comprises receiving health data associated with a patient, storing the health data in a data structure as historical patient data, identifying new appointment scheduling data associated with the patient, determining an appointment subject associated with the new appointment scheduling data, determining a correlation between the new appointment scheduling data and the historical patient data, searching one or more databases for one or more relevant articles, retrieving the one or more relevant articles, generating a recommendation for the one or more relevant articles, and presenting the recommendation for the one or more relevant articles to a user through at least one of a news feed, a calendar, or an electronic medical record (EMR) associated with the patient.

Abstract: An example method includes obtaining, by processing circuitry, an image depicting a face of a person wearing eyewear and a reflection pattern generated by projecting light onto a lens of the eyewear and determining, by the processing circuitry, an optical parameter of the lens based on the image. The method further includes receiving, by the processing circuitry and from an electronic database, a personal characteristic data relating to a previously identified person and comparing, by the processing circuitry, the optical parameter of the lens to the personal characteristic data. The method further includes determining, by the processing circuitry and based on the comparison, a score indicative of a match between the person wearing eyewear and the previously identified person.

Abstract: Computer program products, methods, systems, apparatus, and computing entities are described for identifying significant incidental findings from medical records. In one example embodiment, an example computing device receives a medical report and derives a textual component from the medical report. The computing device then identifies one or more medical findings from the textual component and determines a clinical context for each of the one or more medical findings. The computing device then identifies one or more clinical cues from the one or more medical findings and generates one or more condition signals from the one or more clinical cues. The computing device then generates a condition alert from the one or more condition signals. The condition alert is indicative of a significant incidental finding. Using various embodiments contemplated herein, significant incidental findings can be identified for follow-up by a user.

Abstract: There is a need for more effective and efficient data evaluation. This need can be addressed by, for example, techniques for data evaluation in accordance with a shared decision tree data object. In one example, a method includes generating, using a plurality of feature extraction threads, shared evidentiary data; generating, based on a selected shared evidentiary data subset of the shared evidentiary data that correspond to one or more selected nodes of the shared decision tree data object, refined evidentiary data; processing the refined evidentiary data in accordance with the shared decision tree data object to generate an evaluation output and an explanation output; and displaying an evaluation output user interface comprising user interface data describing the evaluation output and the explanation output.

Abstract: A computing system may receive a verification of benefits (VoB) request that identifies a subscriber and a healthcare provider that submitted the VoB request. The VoB request may comprise a request for the computing system to verify that a health insurance policy of the subscriber is active. In response to determining that the health insurance policy of the identified subscriber is active, the computing system may determine whether to send a subscriber alert to the subscriber. The subscriber alert may notify the subscriber that the healthcare provider has been requested to perform a healthcare action for the subscriber in the future as of a time the healthcare provider submitted the VoB request. Based on a determination to send the subscriber alert, the computing system may initiate a process to send the subscriber alert.

Abstract: Various embodiments of the present disclosure provide methods, apparatus, systems, computing devices, computing entities, and/or the like for multi-node system monitoring using one or more distributed ledgers, wherein a ledger entry request received from a miner node computing entity is validated based at least in part on executing a hierarchical validation workflow that comprises an ordered sequence of L validation iterations, wherein each of one or more ith non-initial validation iterations is performed based at least in part on an association of an (i?1)th validation iteration with a non-affirmative validation determination.

Abstract: There is a need for more accurate and more efficient natural language solutions with greater semantic intelligence. This need can be addressed, for example, by natural language processing techniques that utilize predictive entity scoring. In one example, a method includes determining an overall prevalence score for the input entity data object with respect to a scored document corpus and a target section; determining a qualified prevalence score for the input entity data object with respect to a high-scoring subset of the scored document corpus; processing the input entity data object using an entity scoring machine learning model to generate the predicted entity score, wherein the entity scoring machine learning model may characterized by a plurality of multiplicative hyper-parameters and one or more additive hyper-parameters; and performing one or more prediction-based actions based at least in part on the predicted entity score.

Abstract: A method for generating a feature store comprises receiving an indication of user input indicating a database management system and a server system hosting a target database; and in response to receiving the indication of user input: determining a connection string for the target database; using the connection string to connect to the target database via the database management system; after connecting to the target database, generating a structure of the feature store in the target database; and populating the feature store with predefined feature values.