Fraud Detection

Health Care Technology

Machine learning presents a solid opportunity for the industry and regulators to fight back against fraudsters. By automatically combining hundreds of variables from different datasets, including patient/prescriber history, interaction graphs, prescription characteristics, and other contextual data, it became possible to target actual fraud cases.

Benefits for the company

Insurance fraud is a major issue that drives up healthcare costs up for insurers, providers, taxpayers and patients.



Type of expertise/ AI domain

Anomaly Detection

Internal data required

Patient’s History, interaction, Prescription, etc

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