METHODS AND APPARATUS FOR QUEUE-BASED CLUSTER ANALYSIS

摘要

Methods and apparatus for identifying and analyzing clusters of medical billing claims in a queue to identify a shared root cause issue for the medical billing claims in the cluster. Exemplary methods and apparatus involve grouping each of the plurality of medical billing claims into clusters based on predetermined cluster patterns that include at least one attribute, validating the clusters using predetermined criteria to determine if the clusters should be analyzed, discarded, and/or marked for further analysis, collecting information about each of the medical billing claims in clusters, and determining a root cause issue for the medical billing claims in the clusters based on the collected information.