Granted Patent B1

US 12,591,937 · App. 19/228,175 · Granted Mar 31, 2026

Inventor: David F. Berg (Phoenix, AZ)

Assignee: Redirect Health, Inc.

G06Q40/08G16H20/00

Abstract

Claims (71)

1 . A system for dynamic healthcare navigation, comprising:

a server computer including a data warehouse, a memory, and a processor; and

at least one database comprising at least one secure data set;

wherein the server computer further includes a platform for receiving additional information from a user device and transmitting the additional information to the server computer;

wherein the platform is operable to capture an image of a bill and/or receipt and convert the image of the bill and/or receipt into a digital data set using natural language processing (NLP);

wherein the at least one database is integrated with at least one automated call center system, operable to automatically collect audio data from one or more remote user devices;

wherein the at least one automated call center system includes at least one NLP module configured to automatically transcribe and semantically analyze the collected audio data;

wherein the server computer is configured to access the at least one secure data set and store the at least one secure data set in the data warehouse;

wherein the data warehouse implements a machine learning model (MLM), wherein the MLM is configured to analyze the at least one secure data set and tag predictors within the at least one secure data set;

wherein the server computer is configured to receive a request associated with the predictors within the at least one secure data set;

wherein the server computer is configured to generate a first output;

wherein the server computer is configured to receive a designation of a plurality of individuals and automatically aggregate components of the at least one secure data set concerned with the designated plurality of individuals;

wherein the server computer is configured to generate a second output based on predictors for the aggregated components of the at least one secure data set;

wherein the MLM includes at least one artificial neural network (ANN);

wherein the at least one ANN includes a plurality of node layers;

wherein the plurality of node layers includes an input layer, one or more hidden layers, and an output layer;

wherein each node of the plurality of node layers connects to another node of the plurality of node layers and includes an associated weight and threshold;

wherein an output of any one node of the plurality of node layers must exceed a specified threshold to be activated;

wherein activating any one node of the plurality of node layers includes sending data to a next node layer of the plurality of node layers; and

wherein the at least one ANN produces the predictors.

2 . The system of claim 1 , wherein the additional information comprises contact information, a request associated with the predictors, or payment information from data.

3 . The system of claim 1 , further comprising at least one authorization for the at least one secure data set, wherein the at least one authorization is granted by a medical license, an insurance license, or a third-party administrator (TPA) license.

4 . The system of claim 1 , wherein the MLM is trained using the first output, wherein the first output is converted into a training input, wherein the training input is fed back into the MLM.

5 . The system of claim 1 , wherein the predictors are assigned a weight, wherein the weight is a numerical value, wherein a larger weight predictor contributes more significantly to an outcome than a smaller weight predictor.

6 . The system of claim 1 , wherein the first output includes a healthcare treatment suggestion, a predicted likelihood of success of a treatment plan, or an estimated claim payment.

7 . The system of claim 1 , wherein the system implements at least one smart contract configured to automatically implement at least one authorization, access to the at least one secure data set, and store the at least one secure data set in the data warehouse.

8 . The system of claim 1 , wherein the system is further configured to generate a narrative summary of the at least one secure data set, an outcome, or the predictors.

9 . A system for dynamic healthcare navigation, comprising:

a server computer including a data warehouse, a memory, and a processor; and at least one database comprising at least one secure data set;

wherein the server computer further includes a platform for receiving additional information from a user device and transmitting the additional information to the server computer;

wherein the platform is operable to capture an image of a bill and/or receipt and convert the image of the bill and/or receipt into a digital data set using natural language processing (NLP);

wherein the server computer is configured to access the at least one secure data set and store the at least one secure data set in the data warehouse;

wherein the data warehouse implements a machine learning model (MLM), wherein the MLM is configured to analyze the at least one secure data set and tag predictors within the at least one secure data set;

wherein the server computer is configured to receive a request associated with the predictors within the at least one secure data set;

wherein the server computer is configured to generate a first output based on the predictors within the at least one secure data set;

wherein the server computer is configured to receive a designation of a plurality of individuals and automatically aggregate components of the at least one secure data set concerned with the designated plurality of individuals;

wherein the server computer is configured to generate a second output;

wherein the MLM includes at least one artificial neural network (ANN);

wherein the at least one ANN includes a plurality of node layers;

wherein the plurality of node layers includes an input layer, one or more hidden layers, and an output layer;

wherein each node of the plurality of node layers connects to another node of the plurality of node layers and includes an associated weight and threshold;

wherein an output of any one node of the plurality of node layers must exceed a specified threshold to be activated;

wherein activating any one node of the plurality of node layers includes sending data to a next node layer of the plurality of node layers; and

wherein the at least one ANN produces the predictors.

10 . The system of claim 9 , wherein the first output includes a healthcare treatment suggestion, a predicted likelihood of success of a treatment plan, or an estimated claim payment.

11 . The system of claim 9 , wherein the MLM is trained using the first output, wherein the first output is converted into a training input, wherein the training input is fed back into the MLM.

12 . The system of claim 9 , wherein the additional information comprises contact information, the request associated with the predictors, or payment information from data.

13 . The system of claim 9 , wherein the system is further configured to generate a narrative summary of the at least one secure data set, an outcome, or the predictors.

14 . A system for dynamic healthcare navigation, comprising:

a server computer including a data warehouse, a memory, and a processor; and

at least one database comprising at least one secure data set;

wherein the server computer further includes a platform for receiving additional information from a user device and transmit ting the additional information to the server computer;

wherein the server computer is configured to access the at least one secure data set and store the at least one secure data set in the data warehouse;

wherein the data warehouse implements a machine learning model (MLM), wherein the MLM is configured to analyze the at least one secure data set and tag predictors within the at least one secure data set;

wherein the server computer is configured to receive a request associated with the predictors within the at least one secure data set;

wherein the server computer is configured to generate a first output;

wherein the server computer is configured to receive a designation of a plurality of individuals and automatically aggregate components of the at least one secure data set concerned with the designated plurality of individuals;

wherein the server computer is configured to generate a second output;

wherein the MLM includes at least one artificial neural network (ANN);

wherein the at least one ANN includes a plurality of node layers;

wherein the plurality of node layers include an input layer, one or more hidden layers, and an output layer;

wherein each node of the plurality of node layers connects to another node of the plurality of node layers and includes an associated weight and threshold;

wherein an output of any one node of the plurality of node layers must exceed a specified threshold to be activated;

wherein activating any one node of the plurality of node layers includes sending data to a next node layer of the plurality of node layers; and

wherein the at least one ANN produces the predictors.

15 . The system of claim 14 , wherein the additional information comprises contact information, the request associated with the predictors, or payment information from data.

16 . The system of claim 14 , further comprising at least one authorization for the at least one secure data, wherein the at least one authorization is granted by a medical license, an insurance license, or a third-party administrator (TPA) license.

17 . The system of claim 14 , wherein the MLM is trained using the first output, wherein the first output is converted into a training input, wherein the training input is fed back into the MLM.

18 . The system of claim 14 , wherein the predictors are assigned a weight, wherein the weight is a numerical value, wherein a larger weight predictor contributes more significantly to an outcome than a smaller weight predictor.

19 . The system of claim 14 , wherein the first output includes a healthcare treatment suggestion, a predicted likelihood of success of a treatment plan, or an estimated claim payment.

20 . The system of claim 14 , wherein the system implements at least one smart contract configured to automatically implement at least one authorization, access to the at least one secure data set, and store the at least one secure data set in the data warehouse.

Assignments (1)

Continuity (7)

References Cited (81)