REAL-TIME BENEFIT ELIGIBILITY EVALUATION

• Main Authors: Sacaleanu, Bogdan E, Sacristan, Pedro, Bhowan, Urvesh
• Format: Patent
• Language: English
• Published: 18.04.2019
• Subjects: CALCULATING; COMPUTING; COUNTING; DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FORADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORYOR FORECASTING PURPOSES; ELECTRIC DIGITAL DATA PROCESSING; PHYSICS; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE,COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTINGPURPOSES, NOT OTHERWISE PROVIDED FOR

Implementations are directed to computer-implemented, real-time benefit eligibility evaluation including actions of receiving a request in a computer-readable format, the request indicating a procedure, a policy, and providing metadata, and determining that a sufficiently similar request has not been previously received, and at least partially in response: providing a set of policies, determining similarity scores between the policy, and each policy in the set of policies to provide a set of similarity scores, identifying a most similar policy in the set of policies based on similarity scores in the set of similarity scores, and outputting a decision to the request, the decision including a historical decision previously output for the most similar policy.