US 12,405,960 B2
Methods and systems for determining a priority for processing of selected database records
Luv Dua, Livingston, NJ (US)
Assigned to Ensemble RCM, LLC, Cincinnati, OH (US)
Filed by Ensemble RCM, LLC, Cincinnati, OH (US)
Filed on Jan. 31, 2024, as Appl. No. 18/428,689.
Prior Publication US 2025/0245234 A1, Jul. 31, 2025
Int. Cl. G06F 16/2457 (2019.01); G16H 40/20 (2018.01)
CPC G06F 16/24578 (2019.01) [G16H 40/20 (2018.01)] 20 Claims
OG exemplary drawing
 
1. A method for managing and processing database records, the method comprising:
maintaining, by a records management and processing system, a plurality of records in a database, each record of the plurality of records comprising a record of a service provided to a consumer by a service provider of a plurality of service providers and identifying at least one required action by at least one responsible entity of a plurality of responsible entities and wherein the records management and processing system comprises an intermediary between systems of the plurality of service providers and systems of the plurality of responsible entities;
identifying, by the records management and processing system, a subset of records from the plurality of records, the subset of records comprising a plurality of records to be further processed by the records management and processing system;
scoring, by the records management and processing system, each record of the identified subset of records based on a plurality of factors related to each record of the identified subset of records, wherein scoring each record of the identified subset of records is based on a plurality of scores, wherein the plurality of scores comprises a score for each of the plurality of factors, and wherein the plurality of scores comprises a status score, a yield score, a touch score, and a discharge score;
prioritizing, by the records management and processing system, the identified subset of records into an ordered list of records based on the score for each record of the identified subset of records; and
executing, by the records management and processing system, one or more workflows on the identified subset of records based on the ordered list of records.