TEAM 1

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Willow: A Medicinal Tree

Nick Macro, Sandrine Muller, Tomas Kasza

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Examining the CoverMyMeds corporate project data set to solve the following problems:

1. Can the approval of a claim be predicted using the insurance and drug information?

2. If a claim is denied, can the rejection code be determined from the above information?

3. If a claim is denied, can the prior authorization (PA) approval be predicted using the above and prior authorization information?