Inventors:
Gerald Lutgen - St. Paul MN, US
Tomás Valdivia - Inver Grove Heights MN, US
Krista Van Vorst - Minneapolis MN, US
Adam Bock - Bloomington MN, US
Assignee:
OptumInsight, Inc. - Eden Prairie MN
International Classification:
G06Q 40/00
Abstract:
A computer implemented system and method for matching drugs and diseases and generating a weighted relationship between the matched drugs and diseases. The system stores a quantity of patient medical history billing records identifiable as patient prescription claim records and medical claim records. The system also stores a grouping of drug codes and groupings of diagnosis codes. The system is configured to match drugs identified in a specific patient's prescription claim records with diseases identified in the patient's medical claims. The system generates a weighted relationship between the matched drugs and diseases by calculating a link weight in accordance with a preprogrammed formula for each occurrence of the diagnosis codes identified in the patient's medical claims that is identified as associated with the disease identified and the drug upon which the query is being processed. The link weight provides a statistical match association value to each of the matched diseases.