Abstract: An aspect of the present disclosure is drawn to a method for managing a payment network, including: learning a transaction pattern of an account over time; generating a transfer function based on the transaction pattern; predicting information for the account based on the density function; changing a state of the account based on the predicted information; and automatically transmitting a notification of a feature to an owner of the account based on the changing of the state of the account, wherein the transfer function is a probability density function of a neural network and wherein the information includes a time of a future transaction linked to a correlated marker of the payment network.

Abstract: Computer implemented method for detecting procedure and diagnosis code anomalies in provider service data. The method includes generating a co-occurrence adjacency matrix from service provider data of a plurality of providers. The adjacency matrix includes counts of the number of co-occurrences of a plurality of diagnoses and a plurality of procedures in the service provider data. A plurality of graph node embeddings is created based on the adjacency matrix. Each of the plurality of graph node embeddings is assigned to one of a plurality of clusters. A health insurance claim is evaluated for excessive billing based on how many of the plurality of clusters is represented in the claim.