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MACHINE LEARNING RISK FACTOR IDENTIFICATION AND MITIGATION SYSTEM
MACHINE LEARNING RISK FACTOR IDENTIFICATION AND MITIGATION SYSTEM
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机译:机器学习风险因素识别和缓解系统
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摘要
A system performing machine learning to predict and identify claims that have a high likelihood of migrating across a predetermined risk threshold and to generate intervention strategies to mitigate the likelihood of migration. The processing system includes a computer server, database engine, computer programming instructions, network connectivity, associated claims, payment, medical, pharmacy and other relevant data, a plurality of statistical and machine learning algorithms and a method for electronically displaying and attaching the results to a business process. The system will use all available data to analyze the medical treatment pattern of a claimant and based on automated findings make recommendations as to appropriate interventions to positively impact claims costs.
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