METHOD AND SYSTEM FOR VALIDATION OF CLAIMS AGAINST POLICY WITH CONTEXTUALIZED SEMANTIC INTEROPERABILITY

摘要

A method and system is provided for validating claim submissions against aclaim policythat can perform a comparative analysis by comparing structured orunstructured claimsubmissions to semantically structured policies to direct and optimizeprocessing of theclaim submission. A method and system is also provided for enabling semanticinteroperability across different proprietary electronic transaction records.Semanticqueries and semantic analysis can be performed on a collection of electronictransaction records originating from different proprietary systems.