Systems and methods provide for an automated system for analyzing damage and processing claims associated with an insured item, such as a vehicle. An enhanced claims processing server may analyze damage associated with the insured item using photos/video transmitted to the server from a user device (e.g., a mobile device). The mobile device may receive feedback from the server regarding the acceptability of submitted photos/video, and if the server determines that any of the submitted photos/video is unacceptable, the mobile device may capture additional photos/video until all of the data are deemed acceptable. To aid in damage analysis, the server may also interface with various internal and external databases storing reference images of undamaged items and cost estimate information for repairing previously analyzed damages to similar items. Further still, the server may generate a payment for compensating a claimant for repair of the insured item.

Systems and methods provide for an automated system for analyzing damage and processing claims associated with an insured item, such as a vehicle. An enhanced claims processing server may analyze damage associated with the insured item using photos/video transmitted to the server from a user device (e.g., a mobile device). The mobile device may receive feedback from the server regarding the acceptability of submitted photos/video, and if the server determines that any of the submitted photos/video is unacceptable, the mobile device may capture additional photos/video until all of the data are deemed acceptable. To aid in damage analysis, the server may also interface with various internal and external databases storing reference images of undamaged items and cost estimate information for repairing previously analyzed damages to similar items. Further still, the server may generate a payment for compensating a claimant for repair of the insured item.

One embodiment provides a system for automatically generating and ranking search results matching a healthcare request, the system including: instructions to: retrieve, from at least one of a consumer device or a first provider device, one or more requests, each request associated with a healthcare service and including at least one criterion associated with the service; perform at least one of: requesting one or more bids from one or more second provider devices or retrieving one or more stored bids from a database of bids, the one or more requested or retrieved bids matching the healthcare service of the one or more requests; using a recommendation engine and the at least one criterion, generate a ranking of the one or more requested or retrieved bids; generate a graphical user interface including the one or more requested or retrieved bids; and output the graphical user interface.

One embodiment provides a system for automatically generating and ranking search results matching a healthcare request, the system including: instructions to: retrieve, from at least one of a consumer device or a first provider device, one or more requests, each request associated with a healthcare service and including at least one criterion associated with the service; perform at least one of: requesting one or more bids from one or more second provider devices or retrieving one or more stored bids from a database of bids, the one or more requested or retrieved bids matching the healthcare service of the one or more requests; using a recommendation engine and the at least one criterion, generate a ranking of the one or more requested or retrieved bids; generate a graphical user interface including the one or more requested or retrieved bids; and output the graphical user interface.

A method for remote damage assessment of a vehicle is provided. The present disclosure relates to the technical field of artificial intelligence, in particular to the technical field of image and text recognition. An implementation solution is: performing data collection on a target vehicle to determine damage information of the target vehicle; obtaining call content of an insurance claiming call for the target vehicle, and extracting accident-related information from the call content, wherein the accident-related information includes named entities in the call content and a relationship between the named entities; and determining a first fraud probability corresponding to the target vehicle at least based on the damage information and the accident-related information.

A method for remote damage assessment of a vehicle is provided. The present disclosure relates to the technical field of artificial intelligence, in particular to the technical field of image and text recognition. An implementation solution is: performing data collection on a target vehicle to determine damage information of the target vehicle; obtaining call content of an insurance claiming call for the target vehicle, and extracting accident-related information from the call content, wherein the accident-related information includes named entities in the call content and a relationship between the named entities; and determining a first fraud probability corresponding to the target vehicle at least based on the damage information and the accident-related information.

A method includes generating a payor channel capacity model by modeling a channel capacity between a resource management system and a payor; generating a transaction request model by modeling transaction requests destined for the payor; defining a plurality of Quality of Service (QoS) bands based on the payor channel capacity model and the transaction request model, respective ones of the plurality of QoS bands being indicative of a measure of relative opportunity to establish a connection on the channel between the resource management system and the payor; receiving a current transaction request for the payor at the resource management system; assigning the current transaction request to one of the QoS bands; and establishing a current connection on the channel between the resource management system and the payor to communicate the current transaction request from the resource management system to the payor based on the QoS band assigned to the current transaction request.

A method includes generating a payor channel capacity model by modeling a channel capacity between a resource management system and a payor; generating a transaction request model by modeling transaction requests destined for the payor; defining a plurality of Quality of Service (QoS) bands based on the payor channel capacity model and the transaction request model, respective ones of the plurality of QoS bands being indicative of a measure of relative opportunity to establish a connection on the channel between the resource management system and the payor; receiving a current transaction request for the payor at the resource management system; assigning the current transaction request to one of the QoS bands; and establishing a current connection on the channel between the resource management system and the payor to communicate the current transaction request from the resource management system to the payor based on the QoS band assigned to the current transaction request.

A method for operational workflow transparency and end-to-end events tracking, the method includes at an event producer system, generating events, corresponding key business attributes, provider industry standard identifiers, patient identifiers, and patient information, and publishing the events and the key business attributes to a tracking system. At a tracking system, receiving and validating the events from the event producer system, generating a universally unique lexicographically sortable identifier (ULID) for an append-only log data structure for the respective event, generating a search index to enable search capabilities for the append-only log data structure, and temporally appending the respective event into the append-only log data structure for the corresponding prior-authorization case.

A method for operational workflow transparency and end-to-end events tracking, the method includes at an event producer system, generating events, corresponding key business attributes, provider industry standard identifiers, patient identifiers, and patient information, and publishing the events and the key business attributes to a tracking system. At a tracking system, receiving and validating the events from the event producer system, generating a universally unique lexicographically sortable identifier (ULID) for an append-only log data structure for the respective event, generating a search index to enable search capabilities for the append-only log data structure, and temporally appending the respective event into the append-only log data structure for the corresponding prior-authorization case.