Granted Patent B1

US 12,424,304 · App. 18/392,635 · Granted Sep 23, 2025

Inventors: Asaf Evenhaim (New York City, NY); Lindsey Lofgren (New York City, NY); Myrto M. Miltiadous (New York City, NY); Bryan Wayne Johnson (Brookline, MA); Christopher George Glazner (New York City, NY); Vasile Iulian Ilies (Boston, MA); Shahdidul Mihal Ahsan (Jersey City, NJ)

Assignee: Veeva Systems Inc.

G16H15/00

Abstract

Claims (96)

1. A method for generating an electronic file comprising:

generating, by a provider computing system, a health information request;

providing, by the provider computing system, the health information request to one or more covered entity computing systems;

receiving, by the provider computing system, health information including prescription claim (Rx) health information and medical claim (Mx) health information from the one or more covered entity computing systems,

wherein the Rx health information includes first deidentified protected health information (PHI), and

wherein the Mx health information includes second deidentified protected health information (PHI);

receiving, by the provider computing system, health care provider (HCP) information,

wherein the HCP information is associated with a plurality of HCPS;

combining, by the provider computing system, the Rx health information with at least a portion of the HCP information to generate first combined health information;

combining, by the processing circuit, the Mx health information with at least a portion of the HCP information to generate second combined health information;

selecting, by the provider computing system, one or more digital projection models from a projection model database of the provider computing system;

determining, by the provider computing system, a first plurality of digitally projected values based on the first combined health information using at least one of the one or more digital projection models,

wherein each digitally projected value of the first plurality of digitally projected values is projected for prescription claims and associated with an HCP of the plurality of HCPS;

determining, by the provider computing system, a second plurality of digitally projected values based on the second combined health information using at least one of the one or more digital projection models,

wherein each digitally projected value of the second plurality of digitally projected values is projected for medical claims and associated with an HCP of the plurality of HCPS;

receiving, by the provider computing system, a file generation request from the user computing device, the file generation request identifying a file type and including a file destination address;

generating, by the provider computing system, the electronic file including at least one digitally projected value of the first plurality of the digitally projected values and at least one digitally projected value of the second plurality of digitally projected values,

wherein the electronic file is generated as the file type identified by the file generation request, and

providing, by the provider computing system, the electronic file to the file destination address of the file generation request.

2. The method of claim 1 , further comprising:

receiving, by the provider computing system, a file share request from the user computing device, the file share request including a recipient address and a file share expiration date;

receiving, by the provider computing system, a request to access the electronic file from a recipient computing device associated with the recipient address;

determining, by the provider computing system, that a present date is before the expiration date;

providing, by the provider computing system and in response to determining that the present date is before the expiration date, the electronic file to the recipient computing device associated with the recipient address based on the request to access the electronic file.

3. The method of claim 2 , further comprising:

generating, by the provider computing system and in response to receiving the file share request, an indication comprising a uniform resource locator (URL) including an expiration parameter that deactivates the URL on the file share expiration date; and

providing, by the provider computing system, the indication to the recipient computing device associated with the recipient address.

4. The method of claim 1 , wherein each digital projection model of the one or more digital projections models is at least one of: a binary classification model, a neural network model, a multiclass classification model, or a regression model.

5. The method of claim 1 , wherein the health information is first health information and further comprising:

receiving, by the provider computing system, second health information,

wherein the first plurality of digitally projected values are determined based on the first combined health information and the second health information.

6. The method of claim 5 , wherein the second health information is national health insurance information associated with at least one of Medicaid or Medicare and is received from a national health database.

7. The method of claim 1 , further comprising:

determining, by the provider computing system, a third plurality of digitally projected values based on at least one of the first combined health information or the second combined health information using at least one of the one or more digital projection models,

wherein the third plurality of digitally projected values is associated with a plurality of zip-codes;

determining, by the provider computing system, a fourth plurality of digitally projected values based on at least one of the first combined health information or the second combined health information using at least one of the one or more digital projection models,

wherein the fourth plurality of digitally projected values is associated with a plurality of states; and

determining, by the provider computing system, a fifth digitally projected value based on at least one of the first combined health information or the second combined health information using at least one of the one or more digital projection models,

wherein the fifth digitally projected value is associated with a country.

8. The method of claim 7 , wherein the country is the United States of America, wherein the plurality of states include the fifty states of the United States of America, and further comprising:

modifying, by the provider computing system, one or more of the digitally projected values of the fourth plurality of digitally projected values based on the fifth digitally projected value such that the sum of the fourth plurality of digitally projected values is equal to the fifth digitally projected value.

9. The method of claim 1 , wherein the health information includes medical product information associated with a plurality of medical products, wherein each digitally projected value of the first plurality of digitally projected values is associated with an HCP of the plurality of HCPs and a first medical product of the plurality of medical products, and further comprising:

determining, by the provider computing system, a third plurality of digitally projected values based on the first combined health information using at least one of the one or more digital projection models,

wherein each digitally projected value of the third plurality of digitally projected values is associated with the HCP of the plurality of HCPs and a second medical product of the plurality of medical products.

10. The method of claim 1 , wherein the one or more covered entity computing systems comprise a first covered entity computing system associated with a pharmacy and a second covered entity computing system associated with a medical claims company, and wherein the method further comprises:

receiving, by the provider computing system, the Rx health information from the first covered entity computing system; and

receiving, by the provider computing system, the Mx health information from the second covered entity computing system.

11. The method of claim 10 , wherein the method further comprises:

determining, by the provider computing system, a third plurality of digitally projected values based on the second combined health information using at least one of the one or more digital projection models,

wherein each digitally projected value of the third plurality of digitally projected values is associated with the HCP of the plurality of HCPs.

12. The method of claim 11 , further comprising:

determining, by the provider computing system, a fourth plurality of digitally projected values by combining at least one digitally projected value of the first plurality of digitally projected values with at least one digitally projected value of the third plurality of digitally projected values,

wherein the electronic file further includes at least one digitally projected value of the fourth plurality of digitally projected values.

13. The method of claim 11 , further comprising:

determining, by the provider computing system, a lag factor based on the second combined health information;

modifying, by the provider computing system, the third plurality of digitally projected values based on the lag factor,

wherein the electronic file is generated to include at least one modified digitally projected value of the modified second plurality of digitally projected values.

14. The method of claim 1 , further comprising:

determining, by the provider computing system, a plurality of lower bounds based on the first combined health information,

wherein the first plurality of digitally projected values are determined based on the first combined health information and the plurality of lower bounds.

15. A method for generating an electronic file comprising:

generating, by a provider computing system, a health information request;

providing, by the provider computing system, the health information request to one or more covered entity computing systems;

receiving, by the provider computing system, first health information including prescription claim (Rx) health information and medical claim (Mx) health information from the one or more covered entity computing systems,

wherein the Rx health information includes first deidentified protected health information (PHI), and

wherein the Mx health information includes second deidentified protected health information (PHI);

receiving, by the provider computing system, second health information including national health insurance information associated with at least one of Medicaid or Medicare from a national health database;

receiving, by the provider computing system, health care provider (HCP) information,

wherein the HCP information is associated with a plurality of HCPS;

combining, by the provider computing system, the Rx health information with at least a portion of the HCP information to generate first combined health information;

combining, by the processing circuit, the Mx health information with at least a portion of the HCP information to generate second combined health information;

selecting, by the provider computing system, one or more digital projection models from a projection model database of the provider computing system;

determining, by the provider computing system, a first plurality of digitally projected values based on at least one of the first combined health information or the second health information using at least one of the one or more digital projection models,

wherein each digitally projected value of the first plurality of digitally projected values is projected for prescription claims and associated with an HCP of the plurality of HCPS;

determining, by the provider computing system, a second plurality of digitally projected values based on at least one of the second combined health information or the second health information using at least one of the one or more digital projection models,

wherein each digitally projected value of the second plurality of digitally projected values is projected for medical claims and associated with an HCP of the plurality of HCPS;

receiving, by the provider computing system, a file generation request from the user computing device, the file generation request identifying a file type and including a file destination address;

generating, by the provider computing system, the electronic file including at least one digitally projected value of the first plurality of the digitally projected values and at least one digitally projected value of the second plurality of digitally projected values,

wherein the electronic file is generated as the file type identified by the file generation request, and

providing, by the provider computing system, the electronic file to the file destination address of the file generation request.

16. The method of claim 15 , wherein each digital projection model of the one or more digital projections models is at least one of: a binary classification model, a neural network model, a multiclass classification model, or a regression model.

17. The method of claim 15 , further comprising:

determining, by the provider computing system, a third plurality of digitally projected values based on at least one of the first combined health information or the second health information using at least one of the one or more digital projection models,

wherein the third plurality of digitally projected values is associated with a plurality of zip-codes;

determining, by the provider computing system, a fourth plurality of digitally projected values based on at least one of the first combined health information or the second health information using at least one of the one or more digital projection models,

wherein the fourth plurality of digitally projected values is associated with a plurality of states; and

determining, by the provider computing system, a fifth digitally projected value based on at least one of the first combined health information or the second health information using at least one of the one or more digital projection models,

wherein the fifth digitally projected value is associated with a country.

18. The method of claim 17 , wherein the country is the United States of America, wherein the plurality of states include the fifty states of the United States of America, and further comprising:

modifying, by the provider computing system, one or more of the digitally projected values of the fourth plurality of digitally projected values based on the fifth digitally projected value such that the sum of the fourth plurality of digitally projected values is equal to the fifth digitally projected value.

19. The method of claim 15 , wherein the health information includes medical product information associated with a plurality of medical products, wherein each digitally projected value of the first plurality of digitally projected values is associated with an HCP of the plurality of HCPs and a first medical product of the plurality of medical products, and further comprising:

determining, by the provider computing system, a third plurality of digitally projected values based on at least one of the first combined health information or the second health information using at least one of the one or more digital projection models,

wherein each digitally projected value of the third plurality of digitally projected values is associated with the HCP of the plurality of HCPs and a second medical product of the plurality of medical products.

20. The method of claim 15 , further comprising:

determining, by the provider computing system, a plurality of lower bounds based on at least one of the first combined health information or the second health information,

wherein the first plurality of digitally projected values are determined based on the plurality of lower bounds and at least one of the first combined health information or the second health information.

Assignments (1)

Continuity (2)

References Cited (75)

Cited By (1)

US 12,633,421