ANALYTICS ENGINE FOR DETECTING MEDICAL FRAUD, WASTE, AND ABUSE

摘要

Exemplary embodiments relate to a Health Care Fraud Waste and Abuse predictive analytics projects sharing network where analytic models can be shared and used directly with minimum changes. The shared/passed Models and Rules on the network are directly applied to datasets from different customers by mapping and creating useful results electronically within a healthcare claims space. A drag-and-drop graphical user interface simplifies the creation of models by associating one or more data sources with one or more pre-defined plug-and-play application graphically.