Invention Grant
US08214232B2 Healthcare insurance claim fraud detection using datasets derived from multiple insurers
有权
医疗保险索赔使用从多家保险公司衍生的数据集进行欺诈检测
- Patent Title: Healthcare insurance claim fraud detection using datasets derived from multiple insurers
- Patent Title (中): 医疗保险索赔使用从多家保险公司衍生的数据集进行欺诈检测
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Application No.: US12765651Application Date: 2010-04-22
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Publication No.: US08214232B2Publication Date: 2012-07-03
- Inventor: Michael Tyler , Nitan Basant , Robin P , Shafi Rahman
- Applicant: Michael Tyler , Nitan Basant , Robin P , Shafi Rahman
- Applicant Address: US MN Minneapolis
- Assignee: Fair Isaac Corporation
- Current Assignee: Fair Isaac Corporation
- Current Assignee Address: US MN Minneapolis
- Agency: Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
- Main IPC: G06Q10/00
- IPC: G06Q10/00

Abstract:
Various techniques are described that enable a smaller insurer (or an insurer with a less developed dataset) to be able to characterize whether certain healthcare insurance claim elements are potentially fraudulent or erroneous. Datasets from larger insurers (with well developed datasets) and/or datasets from a consortium of insurers can be leverage by the smaller insurer. Related techniques, apparatus, systems, and articles are also described.
Public/Granted literature
- US20110264459A1 HEALTHCARE INSURANCE CLAIM FRAUD DETECTION USING DATASETS DERIVED FROM MULTIPLE INSURERS Public/Granted day:2011-10-27
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