Patient Identity Authentication With Risk Scoring and Mobile Proof
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Solution Overview
Problem
Patient authentication at healthcare providers is often weak, insecure, and susceptible to identity theft, with insurance information being misused by nefarious actors.
Innovation Solution
A system and method for patient authentication and identity risk assessment using an identification risk assessment model to generate authenticity scores, requiring biometric data, patient identity tokens, and credentials, with secondary authorization requests and validation tokens to verify patient identity.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If traditional in-person patient authentication methods are used, then the process is simple and quick, but the security and reliability are weak and susceptible to forgery
Solution Approach 1:
The patent introduces an intermediary authentication system that includes a remote authentication server, communication network, and multiple verification components. This intermediary system mediates between the patient and provider, performing comprehensive identity verification through risk assessment models, biometric data, and multi-factor authentication mechanisms, thereby resolving the contradiction by adding security without requiring complex in-person procedures
Solution Approach 2:
The patent replaces traditional mechanical/in-person authentication mechanisms with electronic and automated systems. The authentication process is substituted from physical presence verification to digital verification including electronic risk assessment models, biometric data processing, and automated communication protocols, achieving higher reliability while simplifying the interaction flow
2Reliability
If comprehensive identity verification procedures are implemented, then identity theft is prevented, but the authentication process becomes more time-consuming
Solution Approach 1:
The patent implements preliminary action by performing risk assessment evaluations and authentication preparations before the actual authentication event. The system pre-evaluates risk factors, pre-verify insurance information, and pre-prepare authentication parameters, so that when authentication is needed, the comprehensive verification can be completed more quickly through streamlined processes
Solution Approach 2:
The patent applies dynamics by making the authentication process adaptive and flexible. The verification depth and required procedures dynamically adjust based on risk assessment results - low-risk patients undergo simplified verification while high-risk cases trigger comprehensive multi-factor authentication, optimizing both time and security
3Measurement precision
If manual review of authentication forms is performed, then the process is straightforward, but false positives and negatives occur and security is compromised
Solution Approach 1:
The patent implements feedback mechanisms where the authentication system continuously receives and processes verification results, risk assessment data, and authentication outcomes. This feedback loop enables the system to learn from previous interactions, adjust verification parameters, and improve accuracy by comparing automated assessments against actual authentication results and correcting false positives and negatives
Solution Approach 2:
The patent applies parameter changes by dynamically adjusting authentication parameters based on risk assessment scores and verification results. The system changes verification stringency, data types required, and authentication depth as parameters based on real-time risk evaluation, improving measurement precision while managing system complexity through automated parameter adjustment
4Productivity
If insurance information is easily accessible, then patient care is efficient, but identity thieves can misuse insurance data
Solution Approach 1:
The patent applies preliminary action by performing insurance verification and risk assessment before patient care begins. The system pre-verifies insurance validity, pre-checks for fraud indicators, and pre-establishes secure authentication parameters, so that when care is provided, insurance information is already validated and protected, preventing identity theft while maintaining care efficiency
Solution Approach 2:
The patent introduces an intermediary authentication layer that mediates between insurance providers and patient care systems. This intermediary verification system securely handles insurance information through encrypted communication, automated validation, and risk-based access controls, allowing efficient data sharing while protecting against identity theft and misuse
Data Source
AI summary
Systems, methods, and computer program products are provided for patient authentication and identity risk assessment. An example system includes a processor configured to receive an initial patient authorization request from a medical provider computing device and generate an authenticity score. The processor is also configured to communicate the authenticity score to an insurance provider system and receive a prompt for a proof of a patient identity. The processor is further configured to receive the proof from a mobile device and communicate a validation token to the mobile device. The processor is further configured to receive a secondary patient authorization request and generate a new authenticity score. The processor is further configured to communicate the new authenticity score to the insurance provider system and receive a secondary insurance provider response. The processor is further configured to communicate a portion of the secondary insurance provider response to the medical provider computing device.