UnitedHealth Group’s patent involves a computer-based system that generates hierarchical data objects by applying rules to claim records, identifying sub-episodes within episodes, and displaying a multi-level view of the data. The system aims to streamline the organization and analysis of healthcare episode data. GlobalData’s report on UnitedHealth Group gives a 360-degree view of the company including its patenting strategy. Buy the report here.
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According to GlobalData’s company profile on UnitedHealth Group, Content recommendation models was a key innovation area identified from patents. UnitedHealth Group's grant share as of April 2024 was 41%. Grant share is based on the ratio of number of grants to total number of patents.
Hierarchical data objects for healthcare claim records
A recently granted patent (Publication Number: US11967431B1) discloses a computer-based system that stores individual claim records in a non-hierarchical data structure and generates single-level episode data objects related to specific subsets of these records. These episode data objects include parent episode date ranges and anchor records, identifying episode types. The system retrieves reference tables to identify eligible episode types for supporting sub-episodes and generates sub-episode data objects based on eligibility criteria. It then transforms single-level episode data objects into multi-level hierarchical data objects, including sub-episode identifiers, and displays a multi-level view of individual claim records and sub-episode anchor records or ancillary records.
Furthermore, the system allows for the identification of diagnosis codes and procedure codes associated with parent episode anchor records, determining provider specialties supporting sub-episodes. It also manages sub-episode ancillary records, ensuring non-overlapping sub-episode date ranges. Additionally, the system prioritizes sub-episodes based on scores associated with anchor records, adjusting date ranges accordingly. The patent also covers a computer-implemented method and a computer program product that store, generate, retrieve, identify, and transform data to facilitate the display of multi-level views of claim records and sub-episodes, ensuring efficient data management and visualization in a hierarchical structure.
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GlobalData Patent Analytics tracks bibliographic data, legal events data, point in time patent ownerships, and backward and forward citations from global patenting offices. Textual analysis and official patent classifications are used to group patents into key thematic areas and link them to specific companies across the world’s largest industries.
