Abstract: A method and system is provided for validating claim submissions against a claim policy that can perform a comparative analysis by comparing structured or unstructured claim submissions to semantically structured policies to direct and optimize processing of the claim submission. A method and system is also provided for enabling semantic interoperability across different proprietary electronic transaction records. Semantic queries and semantic analysis can be performed on a collection of electronic transaction records originating from different proprietary systems.
Abstract: A system and method is provided for developing, implementing and managing orders whereby a raw order set can be resolved into a canonical order set to identify at least one order within the one raw order set. A commonality analysis can be performed by comparing one canonical order set with another canonical order set to determine at least one common order subset. The canonical order sets sharing at least one common order subset can then be restructured into a hierarchical structure, and prioritized to minimize downstream processing.
Abstract: A system and method is provided for developing, implementing and managing orders whereby a raw order set can be resolved into a canonical order set to identify at least one order within the one raw order set. A commonality analysis can be performed by comparing one canonical order set with another canonical order set to determine at least one common order subset. The canonical order sets sharing at least one common order subset can then be restructured into a hierarchical structure, and prioritized to minimize downstream processing.