This paper describes an effective medical claim fraud/abuse detection system based on data mining used by a Chilean private health insurance company. Fraud and abuse in medical cla...
The prevention of credit card fraud is an important application for prediction techniques. One major obstacle for using neural network training techniques is the high necessary di...
With the growing importance of foreign commerce comes also greater opportunities for fraudulent behaviour. As such, governments must try to detect frauds as soon as they take plac...
Norton Trevisan Roman, Cristiano D. Ferreira, Luis...
Commercial datasets are often large, relational, and dynamic. They contain many records of people, places, things, events and their interactions over time. Such datasets are rarel...
Andrew Fast, Lisa Friedland, Marc Maier, Brian Tay...
We describe a data mining system to detect frauds that are camouflaged to look like normal activities in domains with high number of known relationships. Examples include accounti...