Database Record Processing via Code Monitoring and Automated Workflows

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Solution Overview

Problem

Current systems for managing transaction records in databases face delays due to data anomalies and issues with handling records, which can impact the timely processing of transactions and affect cash flow, especially in healthcare settings where payments become contested.

Innovation Solution

A records management and processing system that applies predefined automated next actions based on codes within records, using a rules engine to tag records for priority processing, workflows to expedite handling, and a code monitoring module to initiate actions on specific codes, thereby prioritizing and efficiently processing records.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Speed

If manual processing methods are used to handle database records, then flexibility in handling various record types is maintained, but processing speed and timeliness deteriorate

Engineering Contradiction:
Improveprocessing speedVSAvoidsystem complexity
Core Design Contradiction:
SpeedVSDevice complexity

Solution Approach 1:

The system automatically monitors codes in database records and triggers predefined workflows without human intervention. The code monitoring module continuously scans records, detects specific codes, and initiates appropriate actions based on predefined rules, enabling the system to serve itself rather than requiring manual processing for each record.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The system uses predefined automated next actions and workflows that are established in advance. When a specific code is detected in a record, the corresponding predefined workflow is automatically triggered, eliminating the need for ad-hoc decision-making and manual processing steps.

Inventive Principle:
Principle #10Preliminary action

2Loss of time

If all records are processed uniformly without prioritization, then processing simplicity is maintained, but critical records experience delays

Engineering Contradiction:
Improveprocessing timeVSAvoidoperational simplicity
Core Design Contradiction:
Loss of timeVSEase of operation

Solution Approach 1:

The system applies different processing priorities to different records based on their content. Records containing specific monitored codes are automatically identified and routed to expedited workflows, while other records follow standard processing procedures. This localized differentiation ensures critical records receive immediate attention without complicating the overall system operation.

Inventive Principle:
Principle #3Local quality

3Reliability

If automated code monitoring is implemented, then processing accuracy and timeliness improve, but system complexity increases

Engineering Contradiction:
Improveprocessing reliabilityVSAvoidsystem complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The code monitoring module serves as an intermediary between the database records and the workflow execution system. It continuously monitors records for specific codes and triggers appropriate predefined workflows, acting as a mediator that automates the detection and response process without requiring complex integration between database and processing systems.

Inventive Principle:
Principle #24Intermediary (Mediator)

4Productivity

If manual review of all records is performed, then processing accuracy is maintained, but cash flow and timeliness are negatively impacted

Engineering Contradiction:
Improveprocessing throughputVSAvoidprocessing accuracy
Core Design Contradiction:
ProductivityVSMeasurement precision

Solution Approach 1:

Instead of manually reviewing all records, the system applies automated code monitoring and predefined workflows to the specific records that contain monitored codes. This partial automation approach focuses resources on critical records that require immediate and accurate processing, while allowing standard records to proceed through automated channels, thereby maintaining both productivity and accuracy for the most important transactions.

Inventive Principle:
Principle #16Partial or excessive action

Data Source

PatentUS20240273081A1Methods and systems for processing database records using predefined automated next actions
Publication Date: 2024.08.15 ENSEMBLE RCM LLC
  • US20240273081A1 patent drawing
  • US20240273081A1 patent drawing
  • US20240273081A1 patent drawing

AI summary

Embodiments of the present disclosure are directed to methods and systems for the processing of database records by monitoring the records for an occurrence of one or more pre-defined codes within the records of the plurality of records and in response to detecting the occurrence of one or more of the pre-defined codes within a set of records, selecting a record of the one or more records, determining an action to be performed on the selected record based on the one or more pre-defined codes occurring in the selected record and a predefined reference module of actions based on a plurality of predefined codes and executing a workflow to perform the determined action on the selected record, wherein the determined action is directed to a condition indicated by the one or more pre-defined codes in the selected record.