Healthcare Fraud Detection

//Healthcare Fraud Detection
Healthcare Fraud Detection 2018-02-26T21:13:27+00:00

Project Description

Case Description

Our customer received medical claims for reimbursement. All claims are coming from insurance companies, clinics, and hospitals and pharmacies. Claims were increasing day by day and there was no system to measure a claim is a genuine or fraud. We aided the prevention and early detection of medical insurance fraud, fraudulent claims

Solution

We built machine-learning models for following techniques to detect fraud.

  • Gap Testing
  • Classification
  • Summing of numeric values
  • Validating entry dates
  • Calculation of statistical parameters

We found the areas in which fraud occurred, and what fraudulent activity looked like in the data.

Project Details

Categories:

This Is A Custom Widget

This Sliding Bar can be switched on or off in theme options, and can take any widget you throw at it or even fill it with your custom HTML Code. Its perfect for grabbing the attention of your viewers. Choose between 1, 2, 3 or 4 columns, set the background color, widget divider color, activate transparency, a top border or fully disable it on desktop and mobile.

This Is A Custom Widget

This Sliding Bar can be switched on or off in theme options, and can take any widget you throw at it or even fill it with your custom HTML Code. Its perfect for grabbing the attention of your viewers. Choose between 1, 2, 3 or 4 columns, set the background color, widget divider color, activate transparency, a top border or fully disable it on desktop and mobile.