Publication number: 20210142333
Abstract: Embodiments are directed to a method for determining an interview script in a claims submission. The method may comprising receiving data relating to a claim being submitted, which may include claims submission data input by a user, information relating to the user, and one or more features. Data associated with the one or more features may be determined from an artificial intelligence model. A first score based on the data associated with the one or more features and data associated with the information relating to the user may be determined and used to determine an interview script. In one embodiment, questions in the interview script may continue to be provided to the interviewer computer if a continually updated score remains above a predetermined threshold. In another embodiment, the user may be routed to a live interview with a human representative if a continually updated score drops below a predetermined threshold.
Filed: May 16, 2017
Publication date: May 13, 2021
Inventors: Theodore Harris, Yue Li, Craig O’Connell, Tatiana Korolevskaya