Sanjay Mathur

An method of pivoting a customer among synchronous and asynchronous communications channels during a communication session.

A system for managing a knowledge model defining a plurality of entities is provided. The system includes an extraction tool for extracting data items from disparate data sources that determines if the data item has been previously integrated into the knowledge model. The system also includes an integration tool for integrating the data item into the knowledge model that integrates the data item into the knowledge model only if the data item has not been previously integrated into the knowledge… Show more

A system for managing a knowledge model defining a plurality of entities is provided. The system includes an extraction tool for extracting data items from disparate data sources that determines if the data item has been previously integrated into the knowledge model. The system also includes an integration tool for integrating the data item into the knowledge model that integrates the data item into the knowledge model only if the data item has not been previously integrated into the knowledge model. Additionally, a relationship tool for identifying, automatically, a plurality of relationships between the plurality of entities may also be provided. The system may also include a data visualization tool for presenting the plurality of entities and the plurality of relationships. Show less

A payment integrity system that processes data, including data associated with a biometric technology. The system includes a discovery module to receive insurance records from a source of data, which includes the data associated with the biometric technology, the records providing information that pertain to at least one transaction. The discovery module includes a query component and an artificial intelligence engine to process the records to identify a second subset of the records having… Show more

A payment integrity system that processes data, including data associated with a biometric technology. The system includes a discovery module to receive insurance records from a source of data, which includes the data associated with the biometric technology, the records providing information that pertain to at least one transaction. The discovery module includes a query component and an artificial intelligence engine to process the records to identify a second subset of the records having anomalous information, and provide a second analysis output indicative of the second subset. The system also includes an audit module to determine whether to instruct the artificial intelligence engine to analyze the records according to the outputs. The system facilitates resolution of a claim payment based on the first analysis output and the second analysis output. Show less

A method, in one embodiment, can include encoding knowledge about a topic domain into a data modeling technique. Additionally, a set of candidate conditional functional dependencies can be generated based on a data set of the topic domain. Moreover, the set of candidate conditional functional dependencies and the data modeling technique encoded with the topic domain knowledge can be applied to the data set to obtain a plurality of data quality rules for the data set.

Systems and methods consistent with the present invention allow an energy consumption index to be generated from Demand Response data and influencer data. The energy consumption index may indicate the energy consumption of a consumer before receiving a Demand Response signal, the change in the consumption after the consumer receives a Demand Response signal, and the consumer's propensity to respond to a Demand Response signal. Systems and methods consistent with the present invention also allow… Show more

Systems and methods consistent with the present invention allow an energy consumption index to be generated from Demand Response data and influencer data. The energy consumption index may indicate the energy consumption of a consumer before receiving a Demand Response signal, the change in the consumption after the consumer receives a Demand Response signal, and the consumer's propensity to respond to a Demand Response signal. Systems and methods consistent with the present invention also allow energy providers to monitor, forecast, and plan for changes in consumer demand for energy. Various energy planning tools may facilitate an energy provider's ability to monitor, forecast, and plan for such changes. Show less

A method for integrating a data item into a knowledge model is provided. The method may include retrieving the data item from a data source, determining if the data item has been previously integrated into the knowledge model, and integrating the data element into the knowledge model if the data item has not been previously integrated.

A payment integrity system that processes data, including data associated with a biometric technology. The system includes a discovery module to receive insurance records from a source of data, which includes the data associated with the biometric technology, the records providing information that pertain to at least one transaction. The discovery module includes a query component and an artificial intelligence engine to process the records to identify a second subset of the records having… Show more

A payment integrity system that processes data, including data associated with a biometric technology. The system includes a discovery module to receive insurance records from a source of data, which includes the data associated with the biometric technology, the records providing information that pertain to at least one transaction. The discovery module includes a query component and an artificial intelligence engine to process the records to identify a second subset of the records having anomalous information, and provide a second analysis output indicative of the second subset. The system also includes an audit module to determine whether to instruct the artificial intelligence engine to analyze the records according to the outputs. The system facilitates resolution of a claim payment based on the first analysis output and the second analysis output. Show less

A system including a knowledge model is provided. The system includes an interface for presenting a relationship between two entities of a knowledge model. The interface includes a method that accepts a first input representative of a selection of a first interface item, the first interface item associated with an entity of the knowledge model. The method also includes presenting, in response to the acceptance, a second interface item, the second interface item associated with a second entity… Show more

A system including a knowledge model is provided. The system includes an interface for presenting a relationship between two entities of a knowledge model. The interface includes a method that accepts a first input representative of a selection of a first interface item, the first interface item associated with an entity of the knowledge model. The method also includes presenting, in response to the acceptance, a second interface item, the second interface item associated with a second entity of the knowledge model, wherein the second entity has a relationship with the selected entity and the relationship has a relationship type selected from the group consisting of a direct relationship type or a derived relationship type. Finally, the method also includes presenting a relationship indicia representative of the relationship between the first entity and the second entity. Show less

A system for managing a knowledge model defining a plurality of entities is provided. The system includes an extraction tool for extracting data items from disparate data sources that determines if the data item has been previously integrated into the knowledge model. The system also includes an integration tool for integrating the data item into the knowledge model that integrates the data item into the knowledge model only if the data item has not been previously integrated into the knowledge… Show more

A system for managing a knowledge model defining a plurality of entities is provided. The system includes an extraction tool for extracting data items from disparate data sources that determines if the data item has been previously integrated into the knowledge model. The system also includes an integration tool for integrating the data item into the knowledge model that integrates the data item into the knowledge model only if the data item has not been previously integrated into the knowledge model. Additionally, a relationship tool for identifying, automatically, a plurality of relationships between the plurality of entities may also be provided. The system may also include a data visualization tool for presenting the plurality of entities and the plurality of relationships. Show less

Methods and systems for identifying and resolving payment integrity issues are provided. Analytic techniques that may include a query component, an artificial intelligence engine, and a text mining component are integrated into a payment integrity system. One or more of the analysis components provide information from a source transaction system to an audit module. The audit module utilizes the outputs from the analysis components to resolve whether or not a claim payment was overpaid or… Show more

Methods and systems for identifying and resolving payment integrity issues are provided. Analytic techniques that may include a query component, an artificial intelligence engine, and a text mining component are integrated into a payment integrity system. One or more of the analysis components provide information from a source transaction system to an audit module. The audit module utilizes the outputs from the analysis components to resolve whether or not a claim payment was overpaid or underpaid. The audit module may subsequently instruct one of the analysis components to further analyze information from the source transaction system in accordance with previously provided information from another analysis component. The audit module may also subsequently instruct the recovery and adjustments module to act upon the result of the audit. The payment integrity system may also receive an indication of a provider claim dispute and resolve the dispute. The payment integrity system may receive a notification of an unsolicited reimbursement (e.g., refund or repayment) from a provider, adjust the associated claim, access data for corresponding claims having a similar characteristic, and audit the corresponding claims. The recovery and adjustments module utilizes the outputs from the audit module to complete the process of recovering overpayments or adjusting claims for underpayment. Show less

Methods, data structures, and systems by which entities can efficiently discover, extend, validate and establish business relationships over a digital network are disclosed. A transitive trust system can be utilized by any number of interconnected entities in which at least two of the entities are capable of sharing information. One or more entity trust lists contain, for at least two of the entities, at least one characteristic. Each characteristic can, for example, describe or pertain to the… Show more

Methods, data structures, and systems by which entities can efficiently discover, extend, validate and establish business relationships over a digital network are disclosed. A transitive trust system can be utilized by any number of interconnected entities in which at least two of the entities are capable of sharing information. One or more entity trust lists contain, for at least two of the entities, at least one characteristic. Each characteristic can, for example, describe or pertain to the actual or perceived dependability, reliability and/or credibility of an entity. The system also includes at least one transactional trust list that contains at least one parameter relative to an exchange between at least two of the entities through at least one degree of separation between the entities. The transactional trust list can, for example, be a listing of any type of parameters that define or describe business exchanges within a particular industry segment. The transactional trust list can also list information about the types of transactional activities that can take place and proxy actions available to cooperating entities. The system retrieves information from the entity trust list and the transactional trust list in order to provide a framework for at least two of the entities to establish relationships with one another. Show less