Computer-readable storage medium storing a program for causing a computer system to realize the function of a component that processes a payment request, and a method of operating a computer system that causes a computer system to process a payment request

摘要

Methods and systems for processing claims (e.g., healthcare insurance claims) are described. For example, prior to payment of an unpaid claim, a prediction is made as to whether or not an attribute specified in the claim is correct. Depending on the prediction results, the claim can be flagged for an audit. Feedback from the audit can be used to update the prediction models in order to refine the accuracy of those models.