WO2004046882A3 - Fraud and abuse detection and entity profiling in hierarchical coded payment systems - Google Patents
Fraud and abuse detection and entity profiling in hierarchical coded payment systems Download PDFInfo
- Publication number
- WO2004046882A3 WO2004046882A3 PCT/US2003/036888 US0336888W WO2004046882A3 WO 2004046882 A3 WO2004046882 A3 WO 2004046882A3 US 0336888 W US0336888 W US 0336888W WO 2004046882 A3 WO2004046882 A3 WO 2004046882A3
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- fraud
- hierarchical coded
- entity
- payment systems
- abuse
- Prior art date
Links
Classifications
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
- G06Q40/02—Banking, e.g. interest calculation or account maintenance
Abstract
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2003295619A AU2003295619A1 (en) | 2002-11-15 | 2003-11-14 | Fraud and abuse detection and entity profiling in hierarchical coded payment systems |
EP03786816A EP1561178A4 (en) | 2002-11-15 | 2003-11-14 | Fraud and abuse detection and entity profiling in hierarchical coded payment systems |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/295,589 | 2002-11-15 | ||
US10/295,589 US8666757B2 (en) | 1999-07-28 | 2002-11-15 | Detection of upcoding and code gaming fraud and abuse in prospective payment healthcare systems |
Publications (3)
Publication Number | Publication Date |
---|---|
WO2004046882A2 WO2004046882A2 (en) | 2004-06-03 |
WO2004046882A3 true WO2004046882A3 (en) | 2004-08-05 |
WO2004046882B1 WO2004046882B1 (en) | 2004-09-30 |
Family
ID=32324344
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2003/036888 WO2004046882A2 (en) | 2002-11-15 | 2003-11-14 | Fraud and abuse detection and entity profiling in hierarchical coded payment systems |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP1561178A4 (en) |
AU (1) | AU2003295619A1 (en) |
WO (1) | WO2004046882A2 (en) |
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US7665063B1 (en) | 2004-05-26 | 2010-02-16 | Pegasystems, Inc. | Integration of declarative rule-based processing with procedural programming |
US8732004B1 (en) | 2004-09-22 | 2014-05-20 | Experian Information Solutions, Inc. | Automated analysis of data to generate prospect notifications based on trigger events |
GB2418499A (en) * | 2004-09-24 | 2006-03-29 | Advanced Forensic Solutions Lt | Information analysis arrangement |
US8924335B1 (en) | 2006-03-30 | 2014-12-30 | Pegasystems Inc. | Rule-based user interface conformance methods |
US8036979B1 (en) | 2006-10-05 | 2011-10-11 | Experian Information Solutions, Inc. | System and method for generating a finance attribute from tradeline data |
US7657569B1 (en) | 2006-11-28 | 2010-02-02 | Lower My Bills, Inc. | System and method of removing duplicate leads |
US7778885B1 (en) | 2006-12-04 | 2010-08-17 | Lower My Bills, Inc. | System and method of enhancing leads |
US8606666B1 (en) | 2007-01-31 | 2013-12-10 | Experian Information Solutions, Inc. | System and method for providing an aggregation tool |
US8606626B1 (en) | 2007-01-31 | 2013-12-10 | Experian Information Solutions, Inc. | Systems and methods for providing a direct marketing campaign planning environment |
US8250525B2 (en) | 2007-03-02 | 2012-08-21 | Pegasystems Inc. | Proactive performance management for multi-user enterprise software systems |
US7975299B1 (en) | 2007-04-05 | 2011-07-05 | Consumerinfo.Com, Inc. | Child identity monitor |
US20080294540A1 (en) | 2007-05-25 | 2008-11-27 | Celka Christopher J | System and method for automated detection of never-pay data sets |
US11037229B2 (en) * | 2008-02-29 | 2021-06-15 | Scott Zoldi | Fraud detection system for the faster payments system |
US10373198B1 (en) | 2008-06-13 | 2019-08-06 | Lmb Mortgage Services, Inc. | System and method of generating existing customer leads |
US7991689B1 (en) | 2008-07-23 | 2011-08-02 | Experian Information Solutions, Inc. | Systems and methods for detecting bust out fraud using credit data |
US20100174638A1 (en) | 2009-01-06 | 2010-07-08 | ConsumerInfo.com | Report existence monitoring |
US8843435B1 (en) | 2009-03-12 | 2014-09-23 | Pegasystems Inc. | Techniques for dynamic data processing |
US8468492B1 (en) | 2009-03-30 | 2013-06-18 | Pegasystems, Inc. | System and method for creation and modification of software applications |
US9652802B1 (en) | 2010-03-24 | 2017-05-16 | Consumerinfo.Com, Inc. | Indirect monitoring and reporting of a user's credit data |
US10453093B1 (en) | 2010-04-30 | 2019-10-22 | Lmb Mortgage Services, Inc. | System and method of optimizing matching of leads |
US8880487B1 (en) | 2011-02-18 | 2014-11-04 | Pegasystems Inc. | Systems and methods for distributed rules processing |
CA2827478C (en) | 2011-02-18 | 2020-07-28 | Csidentity Corporation | System and methods for identifying compromised personally identifiable information on the internet |
US11030562B1 (en) | 2011-10-31 | 2021-06-08 | Consumerinfo.Com, Inc. | Pre-data breach monitoring |
US9195936B1 (en) | 2011-12-30 | 2015-11-24 | Pegasystems Inc. | System and method for updating or modifying an application without manual coding |
US10255598B1 (en) | 2012-12-06 | 2019-04-09 | Consumerinfo.Com, Inc. | Credit card account data extraction |
US8812387B1 (en) | 2013-03-14 | 2014-08-19 | Csidentity Corporation | System and method for identifying related credit inquiries |
US9633322B1 (en) | 2013-03-15 | 2017-04-25 | Consumerinfo.Com, Inc. | Adjustment of knowledge-based authentication |
US10262362B1 (en) | 2014-02-14 | 2019-04-16 | Experian Information Solutions, Inc. | Automatic generation of code for attributes |
US10469396B2 (en) | 2014-10-10 | 2019-11-05 | Pegasystems, Inc. | Event processing with enhanced throughput |
US10339527B1 (en) | 2014-10-31 | 2019-07-02 | Experian Information Solutions, Inc. | System and architecture for electronic fraud detection |
US10242019B1 (en) | 2014-12-19 | 2019-03-26 | Experian Information Solutions, Inc. | User behavior segmentation using latent topic detection |
US11151468B1 (en) | 2015-07-02 | 2021-10-19 | Experian Information Solutions, Inc. | Behavior analysis using distributed representations of event data |
US10698599B2 (en) | 2016-06-03 | 2020-06-30 | Pegasystems, Inc. | Connecting graphical shapes using gestures |
US10698647B2 (en) | 2016-07-11 | 2020-06-30 | Pegasystems Inc. | Selective sharing for collaborative application usage |
US10699028B1 (en) | 2017-09-28 | 2020-06-30 | Csidentity Corporation | Identity security architecture systems and methods |
US10896472B1 (en) | 2017-11-14 | 2021-01-19 | Csidentity Corporation | Security and identity verification system and architecture |
US11048488B2 (en) | 2018-08-14 | 2021-06-29 | Pegasystems, Inc. | Software code optimizer and method |
US11567945B1 (en) | 2020-08-27 | 2023-01-31 | Pegasystems Inc. | Customized digital content generation systems and methods |
CN112926879B (en) * | 2021-03-26 | 2022-05-20 | 平安科技(深圳)有限公司 | Payment scheme decision method, device and equipment for disease diagnosis related grouping |
CN113487316A (en) * | 2021-07-22 | 2021-10-08 | 银清科技有限公司 | Distributed payment system security processing method and device |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5253164A (en) * | 1988-09-30 | 1993-10-12 | Hpr, Inc. | System and method for detecting fraudulent medical claims via examination of service codes |
US5577169A (en) * | 1994-04-29 | 1996-11-19 | International Business Machines Corporation | Fuzzy logic entity behavior profiler |
-
2003
- 2003-11-14 AU AU2003295619A patent/AU2003295619A1/en not_active Abandoned
- 2003-11-14 EP EP03786816A patent/EP1561178A4/en not_active Withdrawn
- 2003-11-14 WO PCT/US2003/036888 patent/WO2004046882A2/en not_active Application Discontinuation
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5253164A (en) * | 1988-09-30 | 1993-10-12 | Hpr, Inc. | System and method for detecting fraudulent medical claims via examination of service codes |
US5577169A (en) * | 1994-04-29 | 1996-11-19 | International Business Machines Corporation | Fuzzy logic entity behavior profiler |
Non-Patent Citations (2)
Title |
---|
FEDERAL REGISTER, DEP. OF HEALTH AND HUMAN SERVICES, PART II, 12 May 1998 (1998-05-12), XP008109706 * |
See also references of EP1561178A4 * |
Also Published As
Publication number | Publication date |
---|---|
EP1561178A2 (en) | 2005-08-10 |
AU2003295619A1 (en) | 2004-06-15 |
WO2004046882B1 (en) | 2004-09-30 |
WO2004046882A2 (en) | 2004-06-03 |
EP1561178A4 (en) | 2009-08-12 |
AU2003295619A8 (en) | 2004-06-15 |
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