CPC G16H 50/20 (2018.01) | 9 Claims |
1. A machine learning based method for authorizing the performance of a treatment, comprising the steps of:
receiving a treatment authorization request for a treatment, the treatment authorization request including a historical record of the person who will receive the treatment and treatment identifying information relating to the treatment;
creating an extracted text of the historical record using optical character recognition on the historical record;
determining whether to analyze authorization performance of the treatment using a machine learning authorization process, wherein the determination is based on treatment identifying information and whether treatment authorization guidelines exist for the treatment;
in response to a determination to analyze authorization performance of the treatment using a machine learning authorization process:
identifying authorization criteria for the treatment based on the treatment authorization guidelines, wherein the authorization criteria includes records data conditional to authorization of performance of the treatment;
identifying a natural language record processing model corresponding to the treatment authorization guidelines;
performing natural language processing on the extracted text of the record in accordance with the identified natural language record processing model to identify relevant record data in the record;
determining whether the relevant record data meets the authorization criteria;
in response to a determination that the relevant record data meets the authorization criteria, authorizing the treatment; and
in response to a determination that the relevant record data does not meet the authorization criteria:
recognizing a specified keyword within the extracted text, using a named entity recognition model (NER), wherein the NER is trained using policy data relating to a policy having the policy type, and wherein the specified keyword is identified as relating to the policy type; and
displaying a visual representation of the clinical document on a display, wherein the visual representation comprises a visual indicator of the presence of the specified keyword on the page.
|