Patents Assigned to OPTUM, INC.
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Patent number: 12026254Abstract: A method includes predicting, before a first period of time, a plurality of predicted event metric values and value ranges corresponding to a first plurality of events to occur over the first period of time based on a plurality of prediction models, determining an actual event metric value of the first plurality of events, and determining a plurality of model range multi-partition error (MRME) values indicative of an accuracy, precision, and relative range of the forecasting models based on the actual event metric values, value ranges, and the predicted event metric values. The method includes selecting one of the forecasting models based on the MRME values, determining a cyber security control limit based on a predicted event metric value or predicted event metric range by the selected forecasting model, and outputting an alert based on an actual event metric value being outside of the cyber security control limit.Type: GrantFiled: June 17, 2022Date of Patent: July 2, 2024Assignee: OPTUM, INC.Inventors: Ziqian Huang, Matthew H. Murphy, Michael J. Levin, William Casey
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Publication number: 20240211907Abstract: A method can include receiving prescription information identifying a prescription for an account to be filled in a recurring manner at multiple fill time points; receiving payment option information; receiving a single selection indicating a standing instruction to fill the prescription for each of the multiple fill time points at a respective lowest payment amount for the account regardless of a plurality of payment options; based on the single selection and for each of the multiple fill time points: obtaining, from a plurality of external data sources via a network, a plurality of payment amounts, determining the respective lowest payment amount for the respective fill time point among the plurality of payment amounts, selecting a payment option among the plurality of payment options associated with the respective lowest payment amount for the respective fill time point, and causing the prescription to be filled using the selected payment option.Type: ApplicationFiled: December 27, 2022Publication date: June 27, 2024Applicant: Optum, Inc.Inventor: Joshua R. BARTELME
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Patent number: 12008584Abstract: There is a need for more effective and efficient anomaly detection. This need can be addressed by, for example, solutions for performing/executing graph convolutional anomaly detection. In one example, a method includes identifying related graph database input data associated with a predictive entity; generating related graph feature data for the predictive entity; generating, based on the related graph feature data and using a graph convolutional neural network model, an anomaly detection score for the predictive entity, wherein at least a portion of the graph convolutional neural network model is trained using confirmation feedback data; performing an anomaly confirmation to generate the confirmation feedback data object for the predictive entity, and integrating the confirmation feedback data object for the predictive entity into the confirmation feedback data associated with the graph convolutional anomaly detection.Type: GrantFiled: October 3, 2022Date of Patent: June 11, 2024Assignee: OPTUM, INC.Inventors: Parker J. Erickson, Gerald Liu, Rex Shen, Devin Uner, George L Williams, Zachary Babcock, Lydia M. Narum
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Patent number: 12009107Abstract: There is a need for more effective and efficient seasonally-adjusted predictive data analysis solutions. This need can be addressed by, for example, solutions for performing seasonally-adjusted predictive data analysis that use autoregressive integrated moving average (ARIMA) machine learning models.Type: GrantFiled: September 9, 2020Date of Patent: June 11, 2024Assignee: Optum, Inc.Inventors: Siddharth Garg, Jyoti Nahata, Madhuri Yadav, Danita Kiser, Prashant Singh, Aishwarya Aishwarya
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Patent number: 12002585Abstract: Various embodiments of the disclosure provide apparatuses, systems, and computer program products for predictive data labelling using a dual-model system. Embodiments provide various advantages in accuracy of predicted labels, for example in various contexts such as medical data analysis for difficult to diagnose diseases.Type: GrantFiled: December 7, 2022Date of Patent: June 4, 2024Assignee: Optum, Inc.Inventors: Vijay S. Nori, Christopher A. Hane, Paul A. Bleicher
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Patent number: 12003575Abstract: An example method includes obtaining first audio data representing one or more initial utterances during an interactive voice session with an interactive voice system (IVS); generating, based on the first audio data, a prediction regarding whether a subsequent utterance of the user in the interactive voice session will contain sensitive information; obtaining second audio data representing the subsequent utterance; determining, based on the prediction, whether to transmit the second audio data to the IVS via a first communication channel; based on a determination not to transmit the second audio data to the IVS via the first communication channel: transmitting third audio data to the IVS via the first communication channel in place of the second audio data; and transmitting the second audio data to a server via a second communication channel that bypasses the IVS.Type: GrantFiled: February 22, 2022Date of Patent: June 4, 2024Assignee: OPTUM, INC.Inventors: Devikiran Ramadas, Ninad D. Sathaye, Gregory J. Boss, Raghav Bali
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Patent number: 11992346Abstract: Remote patient management involves receiving an enrollment request to enroll a patient, identification of vitals of the patient to be measured based on the enrollment request, providing an equipment request indicating the vitals of the patient to be measured, receiving equipment information corresponding to one or more health measurement devices for measuring the vitals of the patient, and associating the patient with the equipment information corresponding to the one or more health measurement devices. In addition, a user device establishes communication with a health measurement device and determines whether it is associated with the patient, and if so, receives measurements from the health measurement device and provides the measurements to a healthcare management server. Otherwise, if not associated with the patient, no measurements are received from the health measurement device.Type: GrantFiled: December 12, 2014Date of Patent: May 28, 2024Assignee: Optum, Inc.Inventor: Houssam Karam
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Patent number: 11977985Abstract: 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.Type: GrantFiled: November 12, 2020Date of Patent: May 7, 2024Assignee: Optum, Inc.Inventors: Darrel Naidoo, Paul J. Godden, Gregory J. Boss, Peter M. Wahl
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Publication number: 20240135460Abstract: 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.Type: ApplicationFiled: October 20, 2022Publication date: April 25, 2024Applicant: Optum, Inc.Inventors: Rama Krishna SINGH, Ravi PANDE, Priyank JAIN
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Patent number: 11967431Abstract: 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.Type: GrantFiled: May 22, 2020Date of Patent: April 23, 2024Assignee: Optum, Inc.Inventors: Peter N. Toensing, Bob Martin
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Publication number: 20240120104Abstract: 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.Type: ApplicationFiled: October 7, 2022Publication date: April 11, 2024Applicant: Optum, Inc.Inventors: Saloni KAKKAR, Surajit DAS, Gregory J. BOSS, Lo Fu TAN
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Patent number: 11954602Abstract: 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.Type: GrantFiled: February 17, 2020Date of Patent: April 9, 2024Assignee: Optum, Inc.Inventors: Daniel J. Mulcahy, Subhash Seelam, Damian Kelly, Vijay S. Nori, Adam Russell
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Patent number: 11954019Abstract: 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.Type: GrantFiled: February 4, 2022Date of Patent: April 9, 2024Assignee: Optum, Inc.Inventors: Pawan Sharma, Atul B. Subhash, Kumar Shailendra
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Patent number: 11954531Abstract: 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.Type: GrantFiled: December 28, 2021Date of Patent: April 9, 2024Assignee: OPTUM, INC.Inventors: William R. Schneider, Momchil D. Georgiev, Denise A. Rondeau, Ravisankar Subbaraj
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Publication number: 20240096455Abstract: 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.Type: ApplicationFiled: February 27, 2023Publication date: March 21, 2024Applicant: Optum, Inc.Inventors: Christian M. HOLES, Pavan K. KURAM, Lawrence D. GARBER, Jennifer M. PIKE
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Patent number: 11921761Abstract: 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.Type: GrantFiled: November 2, 2018Date of Patent: March 5, 2024Assignee: Optum, Inc.Inventors: Ravi Kondadadi, Stephen G. Graham, Rick A. Hamilton, Dmitry Rekesh
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Patent number: 11914506Abstract: 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.Type: GrantFiled: February 23, 2022Date of Patent: February 27, 2024Assignee: Optum, Inc.Inventors: Sanjay K. Dwivedi, Alok K. Gupta, Nitu, Kunal Pankaj
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Patent number: 11907399Abstract: 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.Type: GrantFiled: April 13, 2023Date of Patent: February 20, 2024Assignee: Optum, Inc.Inventor: Robin Edison
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Publication number: 20240055140Abstract: 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.Type: ApplicationFiled: August 11, 2022Publication date: February 15, 2024Applicant: Optum, Inc.Inventors: Gregory J. BOSS, Adam RUSSELL, Ramprasad Anandam GADDAM, Robert Kahn ROSSMILLER
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Patent number: 11900725Abstract: 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.Type: GrantFiled: December 2, 2021Date of Patent: February 13, 2024Assignee: OPTUM, INC.Inventors: Jon Kevin Muse, Gregory J. Boss, Ramprasad Anandam Gaddam, Hadi D. Halim