IMR Machine Learning Code.

For anyone else who wants to build on this, here’s the code to generate the prediction algorithm for my Independent Medical Review Prediction App: In the R language #Libraries require(tidyr) require(caret) require(randomForest) require(FactoMineR) require(magrittr) require(tm) #Load Data df<-read.csv(“link to data goes here”, stringsAsFactors=F) str(df) #Data Cleaning # cols<-c(“DiagnosisCategory”, “DiagnosisSubCategory”, “TreatmentCategory”, “TreatmentSubCategory”, “Determination”, “Type”, “AgeRange”, “PatientGender”, […]

Independent Medical Review Prediction App

The app is here. In November 2020 I made an app that predicts whether someone’s Independent Medical Review will be upheld or overturned in California. If your insurance denies you coverage, in California you have the right to appeal that decision to the Department of Managed Health Care. They can overturn that decision and force […]