UnitedHealth Group Incorporated
METHOD, APPARATUS AND COMPUTER PROGRAM PRODUCT FOR PREDICTIVE GRAPH-BASED NETWORK ANALYSIS

Abstract:

Methods, apparatuses, systems, computing entities, and/or the like are provided. An example method may include retrieving a scheme data object; generating a tabular data object; generating a graph data object including a plurality of nodes and a plurality of edges; calculating, based on the graph data object, a plurality of node attributes for the plurality of nodes and a plurality of edge attributes for the plurality of edges; identifying at least one irregular member node from the plurality of member nodes; identifying at least one irregular referring provider node from the plurality of referring provider nodes; identifying at least one irregular servicing provider node from the plurality of servicing provider nodes based at least in part on the at least one irregular member node and the at least one irregular referring provider node; and performing one or more responsive actions.