Cross-Feature Eligibility Prediction Framework

Resolve Bottlenecks,
Find Innovative Solutions
Generate Solutions

Solution Overview

Problem

Current methods for determining eligibility predictions for predictive entities, such as individuals seeking supplementary coverage, are unreliable and imprecise due to their inability to effectively process data from multiple instantiable feature types.

Innovation Solution

A cross-feature-type eligibility prediction machine learning framework is employed, which generates feature words and paragraphs from structured feature data, using feature processing models to create a cross-feature-type representation that an eligibility prediction model can use to generate a predicted eligibility score.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If current methods are used to determine eligibility predictions, then the process is simple, but the accuracy and reliability of predictions are poor

Engineering Contradiction:
Improveeligibility prediction reliabilityVSAvoidprediction framework complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent segments the eligibility prediction process into distinct components: feature extraction module that processes structured feature data, paragraph generation module that creates contextual representations, and prediction module that generates eligibility scores. This segmentation allows each component to specialize in specific tasks, improving overall prediction reliability while maintaining manageable system complexity through modular architecture.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent introduces an intermediary paragraph generation step that transforms structured feature data into natural language paragraphs before final prediction. This intermediary representation serves as a bridge between raw data and prediction algorithms, enabling more accurate eligibility determinations by capturing contextual relationships that direct prediction methods miss.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If multiple feature types are processed to improve prediction accuracy, then the reliability improves, but the computational resources and time required increase

Engineering Contradiction:
Improveeligibility prediction precisionVSAvoidprediction processing efficiency
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The patent performs preliminary feature extraction and paragraph generation before the actual eligibility prediction. By pre-processing structured feature data into contextual paragraphs and organizing features into meaningful groups, the system reduces the computational burden during the prediction phase, allowing accurate processing of multiple feature types without proportionally increasing overall processing time.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent implements dynamic feature processing where the system adapts to different feature types and data structures. The framework dynamically adjusts how features are extracted, grouped, and processed based on the specific input data, enabling efficient handling of diverse feature types while maintaining high prediction precision through optimized processing pathways.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentUS12165081B2Machine learning techniques for eligibility prediction determinations
Publication Date: 2024.12.10 OPTUM SERVICES IRELAND LTD
  • US12165081B2 patent drawing
  • US12165081B2 patent drawing
  • US12165081B2 patent drawing

AI summary

Various embodiments of the present invention provide methods, apparatus, systems, computing devices, computing entities, and/or the like for performing predictive data analysis operations. For example, certain embodiments of the present invention utilize systems, methods, and computer program products that perform predictive data analysis operations by generating a predicted eligibility score for a predictive entity using a cross-feature-type eligibility prediction machine learning framework.