Comprehensive liability management platform for calculation of multiple alternative scenarios

Abstract

A computer-implemented method for adjusting one or more electronic medical bills for a claimant injured in an accident comprises generating a user interface to be presented to a claims adjuster; receiving a first user input identifying a claimant; responsive to the first user input, retrieving and aggregating multiple electronic medical bills each having at least one line; generating one or more findings and multiple scenarios by providing the aggregated electronic medical bills as inference input to a trained machine learning model, wherein the trained machine learning model has been trained with historical electronic medical bills and corresponding findings and scenarios, wherein responsive to the inference input, the trained machine learning model outputs the one or more findings and the multiple scenarios, wherein the one or more findings represent rationales for approving, denying, or repricing, and wherein the multiple scenarios include cost estimates based on the one or more findings.

CPC Classifications