Patents by Inventor Pritesh J. Shah

Pritesh J. Shah has filed for patents to protect the following inventions. This listing includes patent applications that are pending as well as patents that have already been granted by the United States Patent and Trademark Office (USPTO).

  • Patent number: 11645093
    Abstract: A computer system for transforming a user interface according to data store mining includes a data store configured to store a parameter related to a user and index event data of a set of events. A data processing circuit is configured to identify a first set of identifiers and train a machine learning model based on event data by the data store. An interface circuit is configured to receive an indication of a selected identifier of the plurality of identifiers, determine a first intake metric of the selected identifier using the machine learning model, and a second intake metric of the selected identifier and the parameter using the machine learning model. The interface circuit is configured to transform the user interface according to the first intake metric and the second intake metric.
    Type: Grant
    Filed: May 4, 2021
    Date of Patent: May 9, 2023
    Assignee: Express Scripts Strategic Development, Inc.
    Inventors: Christopher R. Markson, Pritesh J. Shah, Christopher G. Lehmuth
  • Publication number: 20230139811
    Abstract: A method includes generating an intervention model by determining principal components for features of a training set, associating each feature of the training set with a principal component, selecting features of the training set most highly correlated with principal components, training a machine learning model with at least some of the selected features, and saving the verified trained machine learning model as the intervention model. The method includes determining multiple channel-specific intervention expectations. Each channel-specific intervention expectation indicates a likelihood that the user will take action in response to an intervention being executed using the engagement channel corresponding to the channel-specific intervention expectation. The method includes selecting an intervention and scheduling the selected intervention for execution.
    Type: Application
    Filed: December 31, 2022
    Publication date: May 4, 2023
    Inventors: Amit K. Bothra, Pritesh J. Shah, Christopher G. Lehmuth, Bradley D. Flynn, Varun Tandra
  • Publication number: 20230112191
    Abstract: A computerized method includes receiving, from a predictive model, a personalization score representing a likelihood that a user is receptive to multiple communication protocols. The method includes selecting a set of communication protocols based on the personalization score. The method includes generating a compliance plan, for addressing a non-compliance failure, including a hierarchy of communication protocols and a set of rule-based conditions. The method includes automatically deploying the compliance plan by generating a first compliance message with a first communication protocol that corresponds to a first level of the hierarchy associated with the compliance plan. The method includes, in response to determining that the non-compliance failure persists for a threshold period of time, generating a second compliance message with a second communication protocol that corresponds to a second level of the hierarchy. The second level demands greater communication resources than the first level.
    Type: Application
    Filed: December 2, 2022
    Publication date: April 13, 2023
    Inventors: Mark D. Wong, Amit K. Bothra, Pritesh J. Shah, Karnik D. Patel
  • Publication number: 20230090355
    Abstract: A method includes receiving a first set of identifiers selected based on commonality among descriptive data corresponding to the identifiers of the first set. Each identifier corresponds to a user who has been supplied a physical object. The method includes identifying event data for the first set within a specified epoch. The method includes training a machine learning model for the first set using the identified event data. The machine learning model is trained using parallel processing of records from a storage structure storing the event data. The parallel processing includes assigning analysis of the event data of each of a subset of the first set to respective processor threads for parallel execution on processing hardware. The trained machine learning model is configured to receive a selected identifier and generate an output representing an amount of resources expected to be used by the selected identifier for a subsequent epoch.
    Type: Application
    Filed: November 28, 2022
    Publication date: March 23, 2023
    Inventors: Christopher R. Markson, Pritesh J. Shah, Christopher G. Lehmuth
  • Publication number: 20230068878
    Abstract: A computer system includes processor hardware configured to execute instructions that include joining at least a portion of multiple call transcription data entries with at least a portion of multiple agent call log data entries according to timestamps associated with the entries to generate a set of joined call data entries, and validating the joined call data entry by determining whether a transcribed entity name matches with entity identifier information associated with the agent call log data entry. The instructions include preprocessing the joined call data entry according to word confidence score data entries associated with the call transcription data entry to generate preprocessed text, performing natural language processing vectorization on the preprocessed text to generate an input vector, and supplying the input vector to an unsupervised machine learning model to assign an output topic classification of the model to the joined call data entry associated with the input vector.
    Type: Application
    Filed: September 1, 2021
    Publication date: March 2, 2023
    Inventors: Akash Dwivedi, Christopher R. Markson, Pritesh J. Shah
  • Publication number: 20230049853
    Abstract: A computerized method for transforming an interactive graphical user interface according to machine learning includes selecting a persona, loading a data structure associated with the selected persona, and generating the interactive graphical user interface. The method includes, in response to a user selecting a first selectable element, inputting a first set of explanatory variables to a first trained machine learning model to generate a first metric, and transforming the user interface according to the selected persona and the first metric. The method includes, in response to the user selecting a second selectable element, inputting a second set of explanatory variables to a second trained machine learning model to generate a second metric, and transforming the user interface according to the selected persona and the second metric. In various implementations, first metric is a first probability of the persona being approved for a first prior authorization prescription.
    Type: Application
    Filed: August 5, 2021
    Publication date: February 16, 2023
    Inventors: Adithya Chowdary Boppana, Christopher R. Markson, Pritesh J. Shah, Jiawei Kuang, Keith L. Widmer
  • Publication number: 20230050921
    Abstract: A computerized method for transforming a user interface according to machine learning includes selecting a persona and determining whether a first condition is true for an associated data structure. In response to determining the first condition is true, the method includes determining whether a second condition is true. In response to determining the second condition is not true, the method includes loading a first trained machine learning model, inputting a first set of explanatory variables to generate a first metric, and transforming the user interface according to the first metric. In response to determining the second condition is true, the method includes determining whether a third condition is true. In response to determining the third condition is true, loading a second trained machine learning model, inputting a second set of explanatory variables to generate a second metric, and transforming the user interface according to the second metric.
    Type: Application
    Filed: August 3, 2021
    Publication date: February 16, 2023
    Inventors: Adithya Chowdary Boppana, Adam M. Portik, Pritesh J. Shah, Christopher R. Markson
  • Patent number: 11551820
    Abstract: A method includes generating an intervention model for a population of users based on contact data, demographic data, and engagement data indicating successfulness of prior interventions for each of the population of users. The method includes, obtaining first data related to a first user, including engagement data indicating successfulness of prior interventions with the first user. The method includes supplying the obtained data as input to the intervention model to determine an intervention expectation, which indicates a likelihood that the first user will take action in response to an intervention. The method includes determining a likelihood of a gap in care. The method includes, in response to the care gap likelihood exceeding a minimum threshold, selecting and scheduling execution of a first intervention. The first intervention is one of a real-time communication with the first user by a specialist and an automated transmission of a message to the first user.
    Type: Grant
    Filed: December 31, 2019
    Date of Patent: January 10, 2023
    Assignee: Express Scripts Strategic Development, Inc.
    Inventors: Amit K. Bothra, Pritesh J. Shah, Christopher G. Lehmuth, Bradley D. Flynn
  • Patent number: 11545260
    Abstract: A computer-implemented method includes generating an intervention model for a population of users based on engagement data indicating successfulness of prior interventions for each of the population of users. Each prior intervention corresponds to one of multiple engagement channels, and the intervention model includes multiple channel-specific models. The method includes supplying data related to a first user as input to the intervention model to determine multiple channel-specific intervention expectations. Each channel-specific intervention expectation indicates a likelihood that the first user will take action in response to an intervention being executed using the corresponding engagement channel.
    Type: Grant
    Filed: November 11, 2020
    Date of Patent: January 3, 2023
    Assignee: Express Scripts Strategic Development, Inc.
    Inventors: Amit K. Bothra, Pritesh J. Shah, Christopher G. Lehmuth, Bradley D. Flynn, Varun Tandra
  • Patent number: 11521750
    Abstract: A computerized method includes determining a clinical opportunity to improve care for a user according to automated triggering of a gap identification rule, generating a persona of the user based on one or more personalization scores that are specific to the user, and generating a care plan for reducing the gap in care based on the persona. The care plan includes a plurality of methods of increasing compliance of the user with the care plan, selected based on the one or more personalization scores, and include different modes of communicating with the user either directly or through at least one of a physician and a pharmacist depending on the one or more personalization scores. The method includes deploying the care plan to provide automated selection of one or more of the different modes of communicating with the user to increase compliance of the user with the care plan.
    Type: Grant
    Filed: July 16, 2020
    Date of Patent: December 6, 2022
    Assignee: Express Scripts Strategic Development, Inc.
    Inventors: Mark D. Wong, Amit K. Bothra, Pritesh J. Shah, Karnik D. Patel
  • Patent number: 11513821
    Abstract: A computer system for dynamic adaptation of a user interface according to data store mining includes a data store configured to index event data of a plurality of events. A data analyst device is configured to render the user interface to a data analyst and transmit a message that identifies a selected identifier of the plurality of identifiers. A data processing circuit is configured to train a machine learning model based on event data stored by the data store for a first set of identifiers from within a predetermined epoch. An interface circuit determines an interface metric for the selected identifier based on the determined output of the selected identifier and transmits the interface metric to the data analyst device. The data analyst device is configured to, in response to the interface metric from the interface circuit, selectively perform a modification or removal of a second user interface element.
    Type: Grant
    Filed: December 15, 2020
    Date of Patent: November 29, 2022
    Assignee: Express Scripts Strategic Development, Inc.
    Inventors: Christopher R. Markson, Pritesh J. Shah, Christopher G. Lehmuth
  • Patent number: 11379979
    Abstract: A computer system includes an input configured to receive a first image of medication located in a receptacle, memory, and a processor configured to execute instructions including creating a second image based on the first image, dividing pixels of the second image into first and second subsets, and scanning the second image along a first axis to count, for each point along the first axis, a number of pixels in the first subset along a line perpendicular to the first axis that intersects the first axis at the point. The instructions also include estimating positions of first and second edges of the receptacle along the first axis based on the counts of the pixels, defining an opening of the receptacle based on the estimated positions of the first and second edges, and outputting a processed image that indicates areas of the image that are outside of the defined opening.
    Type: Grant
    Filed: August 20, 2020
    Date of Patent: July 5, 2022
    Assignee: Express Scripts Strategic Development, Inc.
    Inventors: Christopher R. Markson, Pritesh J. Shah, Christopher G. Lehmuth
  • Patent number: 11366834
    Abstract: A system includes a processor and memory. The memory stores a model database including models and a classification database including classification scores corresponding to an input. The memory stores instructions for execution by the processor. The instructions include, in response to receiving a first input from a user device of a user, determining, for the first input, classification scores for classifications by applying the models to the first input. Each model determines one of the classification scores. The instructions include storing the classification scores as associated with the first input in the classification database and identifying the first input as within a first classification in response to a first classification score corresponding to the first classification exceeding a first threshold. The instructions include transmitting, for display on an analyst device, the first input based on the first classification to a first analyst queue associated with the first classification.
    Type: Grant
    Filed: July 8, 2020
    Date of Patent: June 21, 2022
    Assignee: Express Scripts Strategie Development, Inc.
    Inventors: Christopher R. Markson, Adithya Chowdary Boppana, Rahul Rajendran, Pritesh J. Shah, Christopher G. Lehmuth
  • Publication number: 20220157433
    Abstract: Systems and methods in this document describe a mental health management system. The mental health management system accesses patient data associated with a patient from a database, determines that the patient is associated with a trigger event, generates a prediction, using a predictive modeling system trained to analyze the patient data, the prediction corresponding to a probability that the patient's current medication data will be modified, stores the prediction in association with the patient data, and transmits the prediction to a computing device.
    Type: Application
    Filed: July 27, 2021
    Publication date: May 19, 2022
    Inventors: Gang Wu, Christopher G. Lehmuth, Amit K. Bothra, Pritesh J. Shah
  • Publication number: 20220157435
    Abstract: Systems and methods herein describe a mental health management system. The mental health management system accesses patient data associated with a patient from a database, determines that the patient is associated with a trigger event, identifies a category associated with the trigger event, generates a notification based on the trigger event and the identified category, validates the notification based on a notification history and transmits the notification to a computing device.
    Type: Application
    Filed: November 17, 2021
    Publication date: May 19, 2022
    Inventors: Gang Wu, Christopher G. Lehmuth, Amit K. Bothra, Pritesh J. Shah, Zachary A. Goodman, Kelcey A. Blair, Callie S. Carter, Jackie L. Ahlstrom, Amy C. Gross, Jeremy A. Rower, Rochelle R. Henderson, Snezana Mahon
  • Patent number: 11301630
    Abstract: A method includes maintaining a question repository in which each question corresponds to a set of decision trees. A distance matrix encodes a distance between each pair of questions. In response to a request for a new question, the method converts the new question into a set of tokens. For each question of the existing questions, the method determines a minimum distance between each token of the new question and the tokens of the question and sums the minimum distances to calculate a distance between the question and the new question. The method includes performing cluster analysis on the distance matrix. Performing cluster analysis includes normalizing the distance matrix and applying a hierarchical clustering process to the normalized distance matrix. Based on the cluster analysis, the method transmits an alternative question proposal or adds the new question to the question repository.
    Type: Grant
    Filed: September 19, 2019
    Date of Patent: April 12, 2022
    Assignee: Express Scripts Strategic Development, Inc.
    Inventors: Christopher R. Markson, Pritesh J. Shah, Christopher G. Lehmuth
  • Publication number: 20220012267
    Abstract: A system includes a processor and memory. The memory stores a model database including models and a classification database including classification scores corresponding to an input. The memory stores instructions for execution by the processor. The instructions include, in response to receiving a first input from a user device of a user, determining, for the first input, classification scores for classifications by applying the models to the first input. Each model determines one of the classification scores. The instructions include storing the classification scores as associated with the first input in the classification database and identifying the first input as within a first classification in response to a first classification score corresponding to the first classification exceeding a first threshold. The instructions include transmitting, for display on an analyst device, the first input based on the first classification to a first analyst queue associated with the first classification.
    Type: Application
    Filed: July 8, 2020
    Publication date: January 13, 2022
    Inventors: Christopher R. Markson, Adithya Chowdary Boppana, Rahul Rajendran, Pritesh J. Shah, Christopher G. Lehmuth
  • Publication number: 20210398681
    Abstract: A method includes defining model attributes of a machine model that organizes feedback data into topic groups based on similarities in concepts in the feedback data. The model attributes include a topic model number that defines how many topic groups are to be created, a hyperparameter optimization alpha value, and/or a hyperparameter optimization beta value. The method also includes generating the machine model using the model attributes that are defined and the feedback data, and applying the machine model to the feedback data to divide different portions of the feedback data into the different topic groups based on contents of the feedback data, the topic model number, the hyperparameter optimization alpha value, and/or the hyperparameter optimization beta value.
    Type: Application
    Filed: June 30, 2021
    Publication date: December 23, 2021
    Inventors: Pritesh J. Shah, Christopher R. Markson, Logan R. Meltabarger
  • Publication number: 20210255880
    Abstract: A computer system for transforming a user interface according to data store mining includes a data store configured to store a parameter related to a user and index event data of a set of events. A data processing circuit is configured to identify a first set of identifiers and train a machine learning model based on event data by the data store. An interface circuit is configured to receive an indication of a selected identifier of the plurality of identifiers, determine a first intake metric of the selected identifier using the machine learning model, and a second intake metric of the selected identifier and the parameter using the machine learning model. The interface circuit is configured to transform the user interface according to the first intake metric and the second intake metric.
    Type: Application
    Filed: May 4, 2021
    Publication date: August 19, 2021
    Inventors: Christopher R. Markson, Pritesh J. Shah, Christopher G. Lehmuth
  • Patent number: 11087880
    Abstract: A method includes defining model attributes of an organizational machine model that organizes feedback data from one or more sources of the feedback data into plural different topic groups based on similarities in concepts expressed in the feedback data. The model attributes represent criteria for establishment of the organizational machine model and include a topic model number that defines how many of the different topic groups are to be created by the organizational machine model and used to organize the feedback data into, a hyperparameter optimization alpha value that defines how likely a feedback datum in the feedback data is to be included in a single topic group of the different topic groupings or multiple topic groups of the different topic groupings, and a hyperparameter optimization beta value that defines how broadly each of the different topic groups are defined relative to the feedback data.
    Type: Grant
    Filed: July 20, 2017
    Date of Patent: August 10, 2021
    Assignee: Express Scripts Strategic Development, Inc.
    Inventors: Pritesh J. Shah, Christopher Markson, Logan R. Meltabarger