Predictive modeling seen growing to detect comp fraud
A trio of experts here explaining predictive modeling said that while it wonβt replace knowledgeable insurance adjusters and underwriters, it is...
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Predictive modeling βno substitute for fraud investigationβ
Predictive modeling certainly has advantages. Insurers can use it to streamline the underwriting process so underwriters only review exceptional cases, rather...
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New technology helping to uncover medical ID theft
In the health policy arena, information technology is seen as a panacea to improve efficiency, reduce repeat testing, and save billions....
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Photo IDs used to prevent health benefit theft in N.C.
An increasing number of North Carolina residents are going without health insurance, leading to more risk of insurance fraud, while many...
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Feds using more technology to detect healthcare fraud
South Florida is the home of sunshine, beaches and, as federal investigators have discovered, fraudsters who take advantage of gaps in...
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Predictive analysis lets insurers stay ahead of fraudsters
When used with data mining tools and street investigations, predictive analytics can be among the biggest electronic enemies of the fraud...
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Auto Insurers Can Now Validate Rating Information at Point of Sale
Auto insurers focused on eliminating rating errors introduced during the sales process now have a new weapon to identify inaccurate or...
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Predictive analytics help insurers connect the dots
Predictive analytics help connect the dots to uncover claim fraud perpetrated by individuals and sophisticated criminal organizations. Using analytics effectively, however,...
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LexisNexis parent makes bid to buy ChoicePoint
Reed Elsevier, the London-based parent of LexisNexis, plans to buy identification and credential verification services provider ChoicePoint Inc. in a $4.1...
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ISO Acquires HealthCare Insight, Leading Provider of Fraud Prevention
ISO announced today it has acquired HealthCare Insight(R), LLC, a Salt Lake City-based company whose solutions enable healthcare claims payors to...
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