Learning

New Claims New Claims New Claims FeatureConstruction Scored Claims and Explanations Model 1 Training Data Audited Claims Database Model 2 Ranking & Explanation FeatureConstruction Learning Model 3 Auditors Machine Learning Models Feedback

Health Plan Claim Submission Prepare Claim Claim Validation Provider(s) Benefit Rules Payer Systems Pre-Enrollment Finalization Enrollment Rework Adjudication Process (TBD) Eligibility Claims Data Post-Enrollment Rework? Pricing New Existing Rework Dashboard Rework Analytics Engine • Score attributes/features • Rank-order Rework claims • Incorporate feedback Rework Analytics Warehouse • Auditor/Adjudicator interaction • Resource allocation • Feedback collection Rework Analytics Store

Claim Submission Automated Claim validation Pricing Rework Prediction Tool Finalized Payment Auditor

Learning

Learning

Presentation Transcript

Learning and Lifelong learning

Learning About Learning

Reinforcement Learning : Learning Algorithms

Learning E-Learning: Introduction

Blended Learning , Better Learning

Learning and Learning LiveCode

Learning styles Learning Preferences Learning Strategies

HUMAN LEARNING AND LEARNING

Learning about learning

Machine learning: Unsupervised learning

Learning about learning

Mobility + Learning = Mobile Learning

Active Learning = Deep Learning

Learning and Learning Disabilities

Learning Unit – learning consultant

Learning inside, learning outside

Learning Teaching Teaching Learning

Learning Technologies E-Learning