Abstract: A method or system of vetting insurance authorization requests and improving chances of approval can include an application at a server or one or more processors that perform the functions of retrieving and extracting information from an authorization request including a treatment and a diagnosis, identifying treatment guidelines based on the information retrieved and extracted from the authorization request, applying rules that have been converted to a standard format that is human readable to provide a confidence of approval value or indicator, and presenting the confidence value or indicator on a user interface based on the rules applied.
Type:
Application
Filed:
March 9, 2023
Publication date:
September 12, 2024
Applicant:
VettedClaims, Inc.
Inventors:
Slim Souissi, William Tontz, Binu Johnson