Michigan turns to analytics to stop fraud
Michigan officials are looking to fight fraud, waste and abuse in the state’s unemployment insurance and food stamp programs, with the...
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Evaluating the benefits of text analytics in fraud detection
As more and more insurers leverage analytical techniques for detecting suspicious claims, the benefits of text mining are becoming more apparent....
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Electronic medical records probed for over-billing
The Obama administration is forging ahead with a multi-billion dollar plan to shift from paper to electronic medical records, despite continuing...
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The Future of Claims Fraud Detection
Statistically, 70 percent of respondents in a recent survey said they would never commit claims fraud, but that leaves 30 percent...
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Big Data Can Fight Fraud in Health Insurance Exchanges: Opera
As Opera Solutions works with the federal government to detect fraud in health insurance exchanges, a feedback mechanism and big data...
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G4S Compliance & Investigations and Church Mutual Enter Into Strategic Partnership
G4S Compliance & Investigations (G4S) has entered into a strategic, multi-year contract with Church Mutual Insurance Company to serve as its...
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CAIF Survey Shows Analytics Key Weapon in Slowing Insurance Fraud
For insurers facing increased organized insurance fraud, predictive modeling and text mining will be the primary anti-fraud technology investments anticipated by...
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Preventing Fraud: Insurers Invest in Anti-Fraud Tech — Slideshow
The Coalition Against Insurance Fraud recently conducted a study on how integral anti-fraud technology is to the insurance industry’s battle against...
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A look at how predictive modeling explodes claims scams
Specialty health insurer Universal American (White Plains, N.Y.) had a problem: A common Medicare fraud scheme was making its way from...
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Texas hospital system uses palm scans to ID patients
Texas Health Presbyterian Hospital Dallas piloted the palm-vein scanners last fall. The rest of the system was online by December. About...
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