Indianapolis, IN, United States
Indianapolis, IN, United States

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Data describing code sets of multiple systems is received. The received data includes a first code set associated with a first system and a second code set associated with a second system. Equivalencies between the first code set and the second code set are determined based on (1) logical definitions associated with the first code set and logical definitions associated with the second code set and (2) one or more outputs associated with the first system and one or more outputs associated with the second system. A coding scheme is identified to standardize the codes in the first code set and the codes in the second code set. Codes of the first code set are mapped to codes of the second code set using the coding scheme.


Patent
Wellpoint Inc. | Date: 2013-01-17

A collaborative electronic environment for medical workers. First medical worker data, describing a medical condition of a patient and (1) a diagnosis relating to the medical condition associated with a first medical worker; and/or (2) a treatment relating to the medical condition associated with the first medical worker, is maintained in a data repository. Second medical worker data describing one or more of (1) an additional diagnosis relating to the medical condition; (2) an additional treatment relating to the medical condition; (3) commentary regarding the diagnosis; and (4) commentary regarding the treatment, is received from a second medical worker, through the electronic user interface. The second medical worker data is stored in the data repository. At least some of the first medical worker data and at least some of the second medical worker data is displayed in the electronic user interface.


Data describing human-machine interfaces available to a user, facts relating to a circumstance of the user, a current human-machine interface being employed by the user, and an initial sentiment associated with the circumstance of the user is received. A target sentiment is computed based on the facts relating to a circumstance of the user. A navigation path to achieve the target sentiment based on the initial sentiment is determined. The next-best human-machine interface to be employed by the user is determined based on the navigation path, the one or more human-machine interfaces available to the user, and the current human-machine interface being employed by the user.


Data identifying two or more functionally similar systems is received. Functional similarities across the two or more functionally similar systems are identified. The functional similarities are grouped into one or more categories. A proportion of each of the grouped functional similarities relative to each of the two or more functionally similar systems is measured. Based on the proportion of each of the grouped functional similarities, a non-redundant system comprising at least some functionality from each of the two or more functionally similar systems is identified.


Patent
Wellpoint Inc. | Date: 2012-09-20

Methods and systems for managing health treatment plans are described. Data describing a physical and/or mental status of an individual is received. A visual representation of the status is created. The visual representation is displayed to a representative of the individual. The representative interacts with the visual representation. Feedback data regarding the visual representation is received from the representative. The feedback data is communicated to the individual.


Systems, methods and computer-readable media for applying policy enforcement rules to sensitive data. An unstructured data repository for storing unstructured data is maintained. A structured data repository for storing structured data is maintained. Request for information is received. The request is analyzed to determine its context. Based on the context, a policy enforcement action associated with generating a response to the request is identified. The policy enforcement action may be to remove sensitive data in generating the response to the request and/or mask sensitive data in generating a response to the request. An initial response to the request is generated by retrieving unstructured data from the unstructured data repository. Using the structured data maintained in the structured data repository, sensitive data included within the initial response is identified. The policy enforcement action is applied to the sensitive data included within the initial response to generate the response to the request.


Patent
Wellpoint Inc. | Date: 2012-08-23

Systems, methods and computer-readable media for creating and using a health data record. Data relating to a patients health is received from one or more information sources. The data includes unstructured data and structured data elements. The unstructured data is parsed to identify data elements. At least some of the structured data elements and at least some of the data elements parsed from the unstructured data are normalized to create normalized data elements. A weight is assigned to the normalized data elements. The normalized data elements are mapped in accordance with an ontology. The mapped data is stored in a data repository in accordance with a data model.


Patent
Wellpoint Inc. | Date: 2012-09-07

The systems and methods relate to decision making processes. Data associated with a request for a decision is received. Risks associated with the request are identified. Decision queries associated with each of the identified risks are determined. Any non-standard attributes associated with each of the identified risks are identified. A confidence level threshold for each of the identified risks is determined. A decision recommendation, generated by a machine learning component, is received. The decision recommendation includes a response to each of the one or more decision queries, determined based on the exceptional attributes, if any, and a confidence level associated with the response. The confidence level is compared to the confidence level threshold. Based on the comparison, a decision path for responding to the request is determined. Decision path actions are determined based on the decision path.


Patent
Wellpoint Inc. | Date: 2012-09-14

Systems, methods and computer-readable media for assisting consumers to enroll in a health plan in an online environment. Data comprising residence information, date of birth information and gender information of a consumer is received. Data comprising a type of health insurance product selected by the consumer is received. Data comprising physician information selected by the consumer is received. Result information is retrieved from one or more databases. The result information includes one or more health insurance plans of the type selected by the consumer, and information describing whether physicians associated with the physician information selected by the consumer are included within a network of each of the health insurance plans. The result information is displayed to the consumer. A request from the consumer to enroll in one of the health insurance plans is received.


Patent
Wellpoint Inc. | Date: 2013-02-21

Creating a macro profile of an entity is disclosed. Attribute data associated with an entity is identified from (1) one or more public domain information sources and/or (2) one or more private domain information sources. One or more micro profiles for the entity are generated based on the identified data, each of the micro profiles describing the entity in a single dimension. Transactions associated with the entity and/or interactions between the entity and one or more other entities are monitored. A plurality of the generated micro profiles for the entity is selected. The selected micro profiles are associated to generate a macro profile for the entity, the macro profile describing the entity in multiple dimensions. The monitored transactions and/or monitored interactions are analyzed to identify any discrepancies in the macro profile. The macro profile is updated to account for the identified discrepancies.

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