383 results about "Case management" patented technology

The Automated Healthcare Risk Management System is a real-time Software as a Service application which interfaces and assists investigators, law enforcement and risk management analysts by focusing their efforts on the highest risk and highest value healthcare payments. The system's Risk Management design utilizes real-time Predictive Models, a Provider Cost Index, Edit Analytics, Strategy Management, a Managed Learning Environment, Contact Management, Forensic GUI, Case Management and Reporting System for individually targeting, identifying and preventing fraud, abuse, waste and errors prior to payment. The Automated Healthcare Risk Management System analyzes hundreds of millions of transactions and automatically takes actions such as declining or queuing a suspect payment. Claim payment risk is optimally prioritized through a Managed Learning environment, from high risk to low risk for efficient resolution by investigators.

An automated transaction integrity monitoring system (100) operative to monitor electronic transactions of an enterprise and detect exceptions indicating noncompliance with enterprise policies. An extractor (140) obtains data from heterogeneous data sources such as enterprise databases. A staging database (155) caches data from the data sources. A mapper (150) maps enterprise data into an enterprise ontology used to express enterprise policies. A knowledge base (165) stores computer-executable policy statements, extractor data, and mapper data. A monitoring database (175) stores data mapped in the enterprise ontology. A collaborative reasoning engine (CORE) (160) executes policy statements against the monitoring database and determines exceptions. An exceptions database (185) stores exceptions from CORE. A case management system (190) provides for analysis and tracking of exceptions.

A knowledge base and methods for use in connection with a policy compliance monitoring system operative to determine exceptions to policies expressed by computer-executable policy statements. The system allows establishment, codification, and maintenance of enterprise policies, monitors electronic transactions of the enterprise from various and possibly heterogeneous data sources, detects exceptions to established policies, reports exceptions to authorized users such as managers and auditors, and/or provides a case management system for tracking exceptions and their underlying transactions. The knowledge base comprises extractor files that are utilized for extracting information from data sources for utilization in policy compliance monitoring, a mapper for normalizing data from the data sources against a system ontology and storing normalized data in a monitoring database, and computer-executable compliance policy statements used by a transaction analysis engine. The policy statements represent predetermined policies of the enterprise that apply to data stored in the monitoring database.

A system, computer program product, and method provide for reason driven data analysis in a web-based system that is configurable to various types of data and environments. The computer program product provides for navigation of a report tree of reports that are hierarchically organized with respect to reasons derived from an analysis of transactional data in a database. A frame based interface provides for easy and flexible navigation and configuration of the reports and other features. A configuration file is used to rapidly develop and customize the web-based system. Case management functionality is included to allow for management of cases being reviewed using the system.

A system and a method collect and/or manage data for remote service providers via a network for integrating and/or for incorporating a lead generation web application and/or a call center system with a case management web application. A potential client inputs information and/or data into an online form of a website of a host to indicate a desire to retain the services from one of the remote service providers. The call center system communicates with the host and contacts the potential client based on the data and/or information from the online form to conduct an inquiry of the potential client. The call center system identifies a location of the potential client and transfers the potential client to a local service provider which is local with respect to the location of the potential client. The host provides the case management web application to the remote service providers and/or the local service provider for maintaining, for organizing and/or for managing a file of a retained client and/or the potential client. The case management web application is populated with the data and/or the information from the online form. The case management web application identifies and/or provides parameters for the file of the retained client based on the services of the local service provider. A payment center is accessed via the network, the host and/or the case management web application for processing a transaction associated with the retained client, the local service provider and/or the services of the local service provider. The host searches the file of the retained client to identify and/or to determine supplemental services which may be desired by the retained client.

A method and apparatus for promoting taxpayer compliance. A computer-implemented data mining system mines taxpayer data to identify taxpayer profiles for taxpayer compliance issues. A computer-implemented decision management system assigns the identified taxpayer profiles into groups based on characteristics of the taxpayer profiles. A computer-implemented case management system implements different treatments to different groups, to improve taxpayer compliance.

A robust toolkit that can be configured and assembled in an object-oriented manner to develop a custom case management software application. The toolkit provides a set of software components that serve as a framework for integration with off-the-shelf components. The software components are organized in a vertical layered architecture, with each layer depending upon the layers below it. The toolkit includes a top enterprise application layer, a middle case management application layer, and a bottom customized application layer. The toolkit allows developer to focus on meeting the specific case management needs of a target business/organization, instead of developing case management business logic and application logic from the ground up.

A simulation system includes at least one processor configured to execute a computer program product, stored upon a storage medium. The computer program product includes a spreadsheet application, a process simulation application, and an integration tool (e.g., eSim), where the spreadsheet application and the process simulation application are discrete, stand alone products. The process simulation application can simulate chemical processes using at least one flowsheet, which models a general flow of chemical plant processes and equipment. The integration tool can map process simulation application objects and properties to spreadsheet application objects, can convey information between mapped objects, can perform case management functions, and can perform orchestrated calculation functions.

Systems and methods for providing a notification of an emergent condition. The systems and methods comprise a mobile device application executing on the processor of the user device, and communicating with a server system over a telecommunications network, which generally comprises the public Internet. The mobile device user includes a “dead man's switch” control, which begins the emergency notification process if released. The emergency alert process uses a central case management server to provide a uniform interface into key data, reducing the need for operators to provide information verbally.

The present inventors recognized a need for improving conventional informational retrieval systems, particularly those intended for retrieval of legal information. Accordingly, they devised systems, methods, and software that facilitate online access to documents, such as non-opinion legal documents, in context of a legal workflow. An exemplary method of operation includes determining that a user of a client access device is performing a litigation-related task using a word-processing application on the client-access device. And in response to an affirmative determination, providing trial court materials relevant to the litigation-related task to the client access device without the user leaving the word-processing application. In some embodiments, the word-processing application is launched from a case-management application that provides case, activity, and role information to the online legal research system.

A method, computer program product and computer platform for delivering allowing an advisory services provider to provide advisory services to an organisation is described. Information relating to a plurality of different topics is accessible over a computer network by a plurality of end users of the organisation. Access to the information by the end users is monitored. It is determined when information relating to a topic identified as being high risk or complicated has been accessed by an end user. The method then ensures that a communication between the end user and an individual authorised to advise on the topic is initiated to allow advice to be provided to the end user. The advisory services platform can include a content delivery module operable to provide a website to the end users and also operable to monitor and track access to the information by end users. A call and case management module can interact with the content delivery module to record details of communications between the end users and call coordinators and/or advisors.

The invention belongs to the technical field of internet test, and particularly relates to an automatic test system. The automatic test system comprises an interface management module, a use case management module, a task management module, a test environment management module, a tool module and an authority management module, wherein the interface management module is used in information configuration of an invoking address and a communication protocol of an interface, the use case management module is used to create test use cases, upload a use case file and modify corresponding use case information, the task management module is used in creation of a test task, selection configuration of an interface case, notification of a modification task and creation of a task expression, the test environment management module is used to configure information of a test environment, and a port and a database which are invoked by the interface, and the tool module is used to configure public services of the interface and the use case management module. The automatic test system is high in efficiency and saves time in an automatic regression test, and furthermore is convenient to debug due to the fact that test personnel use the interface to configure and organize the cases.

An electronic exchange system is provided for input and processing of cash letter adjustments between financial institutions and their customers. The system includes a central processor or centralized exchange mechanism and established rules and procedures for operation of the exchange and centralized hardware and software that is accessible through internet or intranet connections. Data for cash letter adjustments are entered to the system by means of standardized electronic formats which may be created from a desktop application or through an electronic interface to the user's mainframe case management system. At a predetermined time, the processor completes the settlement of each of the adjustment transactions and sends the settlement requirements to each of the participating banks or financial institutions. The system also creates a net settlement file in conformity with the "Enhanced Net Settlement" requirements of the Federal Reserve Bank to provide a net settlement of those adjustments through a participant's reserve account at the host Federal Reserve Bank or through a correspondent settling on the participant's behalf at the Federal Reserve Bank. The system also provides an electronic medium for the exchange of informational requests and responses to those requests. The system provides a database of all participants with detailed contact information for each participating financial institution.

The invention provides an intelligent identity authentication system. The intelligent identity authentication system comprises an authentication client SDK, an authentication server SDK, an authentication service proxy device, an authentication server, an authentication analysis engine and a cloud service platform, wherein the authentication client SDK is used for acquiring client information of authenticated users; the authentication server SDK is used for checking service strategies, and executing and forwarding information of an authentication client; the authentication service proxy device is used for providing a server reverse proxy when the authentication server SDK cannot implement an authentication function; the authentication server is used for managing the service strategies, authentication modes and cases, and displaying authentication analysis results; the authentication analysis engine is used for performing risk analysis based on a risk control model, wherein the risk analysis includes the steps of performing risk level scoring based on predefined rules and implementing big data analysis in combination with a big data analysis engine; and the cloud service platform dynamically adjusts identity authentication modes and requirements according to risk analysis results of the authentication server and the authentication analysis engine, performs identity authentication for the users, and returns an authentication result to the authentication analysis engine. According to the intelligent identity authentication system provided by the invention, an appropriate identity authentication mode can be selected for the users based on a risk analysis method.

The invention discloses a software unit test case management system which comprises a case automatic generation module, a basic information management module, a retrieval match module and a case management module, wherein the case automatic generation module achieves the functions of data import, data analysis, data edition and data export, can generate a batch test case TCF file and import the file into a test tool to be executed automatically; the case management module can match test cases with basic information to form a process test case and a typical test case in the case management module, form a test case set, manage the test case set and facilitate the re-edition and reuse of the test cases; the retrieval match module can quickly and efficiently retrieve the finished test cases. For the characteristics that embedded servo software is large in code quantity and high in similarity, the software unit test case management system is high in automation degree and comprehensive and standard in test case, improves the unit test efficiency and the test quality, also improves the reuse rate of the test cases, and reduces the labor cost.