Abstract: Various embodiments provide methods, systems, apparatus, computer program products, and/or the like for managing, ingesting, monitoring, updating, and/or extracting/retrieving information/data associated with an electronic record (ER) stored in an ER data store and/or accessing information/data from the ER data store, wherein the ERs are generated, updated/modified, and/or accessed via a graph-based domain ontology.

Abstract: Access to a container may be controlled by receiving a container identifier provided from a container identification module associated with the container; determining access criteria for the container; receiving a provider authorization signal generated based on user input received via a provider user interface; receiving biosensor signals generated by biosensors associated with a user; receiving historical access data associated with the user, wherein the historical access data indicates one or more objects historically accessed by user; determining whether the provider authorization signal, the one or more biosensor signals, and the historical access data satisfy the access criteria for the container; and upon determining the access criteria for the container are satisfied, generating a signal causing an unlocking mechanism to unlock the container.

Abstract: Various embodiments provide methods, systems, apparatus, computer program products, and/or the like for managing, ingesting, monitoring, updating, and/or extracting/retrieving information/data associated with an electronic record (ER) stored in an ER data store and/or accessing information/data from the ER data store, wherein the ERs are generated, updated/modified, and/or accessed via a graph-based domain ontology.

Abstract: Various embodiments provide methods, systems, apparatus, computer program products, and/or the like for managing, ingesting, monitoring, updating, and/or extracting/retrieving information/data associated with an electronic record (ER) stored in an ER data store and/or accessing information/data from the ER data store, wherein the ERs are generated, updated/modified, and/or accessed via a graph-based domain ontology.

Abstract: Systems and methods for intelligently routing a member of an organization to a single point-of-contact within an optimized, secure network to address all the member's healthcare needs are described. The disclosed intelligent routing configurations transform and process, in real-time, vast amounts of member data to generate aggregated diagnoses and a member score specific to each member's household. The scores, among other things, are used to determine an identification of special needs and an appropriate advocate within the organization to route the member, and its account file containing real-time member and household level data.

Abstract: A user computing entity executes application program code to cause display of an IUI via a user interface of the user computing entity. The IUI comprises an action list comprising one or more action items corresponding to one or more team members of a team. The action items are automatically ordered based on one or more action priorities. At least one of the action items corresponds to a coaching opportunity and a recommendation for responding thereto. The coaching opportunity is automatically identified using a recommendation model trained using machine learning based at least in part on performance data corresponding to a plurality of key performance indicator metrics. The recommendation for responding to the coaching opportunity is determined using the recommendation model and based on the performance data. The recommendation model is trained using information regarding previous handlings of coaching opportunities and corresponding outcome indicators for a cluster of teams.

Abstract: There is a need to automatically provide one or more electronic documents to the user. In one example, embodiments comprise, generating a facility visit data object for a user describing one or more facility attributes for one or more facilities associated with a potential visit from the user. One or more electronic documents may be determined to be retrieved based at least in part on the facility visit data object. One or more user interaction electronic document data objects may be generated to enable interaction between the user and the one or more electronic document data objects. One or more modified user interaction electronic document data objects may be received and may be provided to one or more facility computing entities in response to one or more trigger events.

Abstract: Embodiments of the invention provide apparatuses, systems, and methods for more accurate remote monitoring of a user's body. In some embodiments, a system for monitoring a user's body comprises a wearable device, a video sensor attached at a collar portion of the wearable device, a plurality of audio sensors spaced and attached at a body portion of a wearable device and a controller configured to determine a Jugular Venous Pressure (JVP) of the user, and determine audio characteristics of an output of the plurality of audio sensors to generate an audio heat map corresponding to at least one internal organ of the user.

Abstract: Methods, apparatus, systems, computing devices, computing entities, and/or the like for generating medical research reports automatically collect data from a plurality of separate health data storage systems, standardize the received data to support at least a requested report type, apply one or more machine-learning quality control check to identify potentially inaccurate data included within the received data, and to generate the requested report based at least in part on the standardized, refined data. Moreover, one or more recommended additional reports supported by the refined data set is identified and recommended to a user based at least in part on user attributes and reports initially requested.

Abstract: Various embodiments provide methods, systems, apparatus, computer program products, and/or the like for managing, ingesting, monitoring, updating, and/or extracting/retrieving information/data associated with an electronic record (ER) stored in an ER data store and/or accessing information/data from the ER data store, wherein the ERs are generated, updated/modified, and/or accessed via a graph-based domain ontology.

Abstract: Systems and methods for intelligently routing a member of an organization to a single point-of-contact within an optimized, secure network to address all the member's healthcare needs are described. The disclosed intelligent routing configurations transform and process, in real-time, vast amounts of member data to generate aggregated diagnoses and a member score specific to each member's household. The scores, among other things, are used to determine an identification of special needs and an appropriate advocate within the organization to route the member, and its account file containing real-time member and household level data.

Abstract: Various embodiments provide methods, systems, apparatus, computer program products, and/or the like for managing, ingesting, monitoring, updating, and/or extracting/retrieving information/data associated with an electronic record (ER) stored in an ER data store and/or accessing information/data from the ER data store, wherein the ERs are generated, updated/modified, and/or accessed via a graph-based domain ontology.

Abstract: A user computing entity executes application program code to cause display of an IUI via a user interface of the user computing entity. The IUI comprises an action list comprising one or more action items corresponding to one or more team members of a team. The action items are automatically ordered based on one or more action priorities. At least one of the action items corresponds to a coaching opportunity and a recommendation for responding thereto. The coaching opportunity is automatically identified using a recommendation model trained using machine learning based at least in part on performance data corresponding to a plurality of key performance indicator metrics. The recommendation for responding to the coaching opportunity is determined using the recommendation model and based on the performance data. The recommendation model is trained using information regarding previous handlings of coaching opportunities and corresponding outcome indicators for a cluster of teams.

Abstract: Various embodiments provide methods, systems, apparatus, computer program products, and/or the like for managing, ingesting, monitoring, updating, and/or extracting/retrieving information/data associated with an electronic record (ER) stored in an ER data store and/or accessing information/data from the ER data store, wherein the ERs are generated, updated/modified, and/or accessed via a graph-based domain ontology.

Abstract: Healthcare costs accumulated across a plurality of claims systems are managed using a centralized accumulator, which receives cost accumulator data for adjudicated claims from multiple sending claim systems. An accumulator record type is identified from the cost accumulator data and used to generate a cross-reference record. The record type includes an adjudicated claim. A routing message is generated for at least one receiving claim system according to the identified accumulator record type, the cost accumulator data received from the sending claim system, and an identity of the at least one receiving claim system. In response to sending the routing message to the receiving claim system, an acknowledgement is received, which is used to update the cross-reference record by the processor.

Abstract: Systems and methods for intelligently routing a member of an organization to a single point-of-contact within an optimized, secure network to address all the member's healthcare needs are described. The disclosed intelligent routing configurations transform and process, in real-time, vast amounts of member data to generate aggregated diagnoses and a member score specific to each member's household. The scores, among other things, are used to determine an identification of special needs and an appropriate advocate within the organization to route the member, and its account file containing real-time member and household level data.

Abstract: There is a need for more effective and efficient hierarchical database monitoring. This need can be addressed by, for example, solutions for performing/executing hierarchical database monitoring in an effective and efficient manner. In one example, a method includes identifying related hierarchical entities for each hierarchical entity; identifying an entity tracking data object for each hierarchical entity; updating the entity tracking data objects; generating a database monitoring data object based at least in part on the updated entity tracking data objects; and performing monitoring of the hierarchical database based at least in part on the database monitoring data object.

Abstract: A user computing entity executes application program code to cause display of an IUI via a user interface of the user computing entity. The IUI comprises an action list comprising one or more action items corresponding to one or more team members of a team. The action items are automatically ordered based on one or more action priorities. At least one of the action items corresponds to a coaching opportunity and a recommendation for responding thereto. The coaching opportunity is automatically identified using a recommendation model trained using machine learning based at least in part on performance data corresponding to a plurality of key performance indicator metrics. The recommendation for responding to the coaching opportunity is determined using the recommendation model and based on the performance data. The recommendation model is trained using information regarding previous handlings of coaching opportunities and corresponding outcome indicators for a cluster of teams.

Abstract: Systems for call processing access and provide structured data about a customer to a representative, where the data is configured and presented through an optimized network are provided. The disclosed call processing systems provide a tailored, interactive graphical user interface (GUI) that provides access to specific user-focused internal and external data resources, presented to the representative, to allow the representative to drive conversations and address the customer's needs quickly.

Abstract: Systems and methods for intelligently routing a member of an organization to a single point-of-contact within an optimized, secure network to address all the member's healthcare needs are described. The disclosed intelligent routing configurations transform and process, in real-time, vast amounts of member data to generate aggregated diagnoses and a member score specific to each member's household. The scores, among other things, are used to determine an identification of special needs and an appropriate advocate within the organization to route the member, and its account file containing real-time member and household level data.