Apparatuses, Systems, and Methods for Detecting Healthcare Fraud and Abuse
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United States of America Patent
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app pub date -
Jan 20, 2012
filing date -
Jan 21, 2011
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Abstract
Methods, systems, and apparatuses are disclosed for identifying healthcare claim fraud. In some embodiments, the methods may include defining links characterizing an interaction between a healthcare consumer and a healthcare provider. In some embodiments, the methods may further include generating, with a processing device, an archive of the links. Additionally, in some embodiments, the methods may include analyzing the archive to identify potential healthcare fraud. In some embodiments, analyzing the archive may include defining one or more patterns indicative of fraud and searching for the one or more patterns indicative of fraud within the archive.
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