CPC G06Q 30/04 (2013.01) [G16H 10/00 (2018.01)] | 20 Claims |
1. A computerized analysis system for automated anomaly identification, the system comprising:
processor hardware; and
memory hardware configured to store instructions that, when executed by the processor hardware, cause the processor hardware to perform operations, wherein the operations include:
operating the system at a large scale by retrieving claimline data for a period of time from an input data store, wherein the claimline data includes a plurality of billing codes and prices of the plurality of billing codes associated with a provider,
wherein the large scale includes at least 10,000 records;
flagging and filtering anomalous price spikes in the claimline data;
determining whether a changepoint exists in the plurality of billing codes in the claimline data;
identifying a chargemaster increase for the provider in response to a statistical parameter of changepoints exceeding a threshold; and
in response to identification of the chargemaster increase, publish publishing an alert that the chargemaster increase has occurred for the provider.
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