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

Healthcare insurance claim fraud detection using datasets derived from multiple insurers
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.
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