Abstract: A method includes receiving a medical claim for payment by a payor; and using an artificial intelligence engine to predict whether the medical claim will be denied by the payor, the artificial intelligence engine comprising a decision tree having at least one level, such that each of the at least one level has a split function associated therewith corresponding to one of a plurality of features associated with the medical claim; wherein a node in the decision tree terminates when at least one of a plurality of termination criteria are satisfied.

Abstract: A system that implements a medical adherence tracker framework receives a workflow definition, the workflow definition comprising one or more tasks. The system persists the workflow definition, and the persisting includes serializing the workflow definition. The system synchronizes the workflow definition to one or more user devices, including transmitting the serialized workflow definition to the user devices. The workflow definition includes nested objects, and the system serializes the workflow definition and nested objects separately and links the serialized objects using an object identifier.

Abstract: A system that manages a gamification provider abstraction layer can select a gamification provider. The system receives a common gamification request message from a client and creates a provider-specific request message based on the received common gamification request message and the selected gamification provider. The system then transmits the provider-specific request message to the selected gamification provider.

Abstract: A system that implements a medical adherence tracker framework receives a workflow definition, the workflow definition comprising one or more tasks. The system persists the workflow definition, and the persisting includes serializing the workflow definition. The system synchronizes the workflow definition to one or more user devices, including transmitting the serialized workflow definition to the user devices. The workflow definition includes nested objects, and the system serializes the workflow definition and nested objects separately and links the serialized objects using an object identifier.

Abstract: A system that manages a gamification provider abstraction layer can select a gamification provider. The system receives a common gamification request message from a client and creates a provider-specific request message based on the received common gamification request message and the selected gamification provider. The system then transmits the provider-specific request message to the selected gamification provider.

Abstract: A framework is described for providing a service to a customer via a Interactive Voice Recognition system (IVR) using natural language expressions. The expressions are evaluated using rules-based programming rules. Evaluated expressions determine an eligibility of a business service to be offered to a customer. Interaction with the customer comprises selecting a semantically correct natural language expression from an appropriate vocabulary database.