Mechanisms are provided that ingest medical treatment information data structure for a medical payment provider. The medical treatment information data structure provides treatment information including costs to patients for one or more medical treatments. The mechanisms generate a set of insight data structures based on the ingested medical treatment information for the at least one medical payment provider. The mechanisms process personal information about a patient to determine an economic status of the patient and process an electronic medical record for the patient identifying a medical condition of the patient. The mechanisms select a medical treatment based on the set of insight data structures and the economic status of the patient and output a recommendation for treating the patient.
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