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Bayesian learning neural network is implemented for credit card fraud detection, telecommunications fraud, auto claim fraud detection, and medical insurance fraud. [ 13 ] Hybrid knowledge/statistical-based systems, where expert knowledge is integrated with statistical power, use a series of data mining techniques for the purpose of detecting ...
The content of the IPDR is determined by the service provider, network/service element vendor, or any other community of users with authority for specifying the particulars of IP-based services in a given context. The IPDR specifications were originally produced by the Internet Protocol Detail Record Organization, Inc. (aka IPDR.org).
Term convergent billing system refers to such a solution, that could maintain single customer account and produce a single bill for all services (for example, it could be public switched telephone network, cable TV and cable internet services for one customer) and also do it regardless a payment method (prepaid or postpaid).
The fraud also allegedly included billing the federally-funded insurance programs for services that weren’t medically necessary or for a higher level of service than clients received, called ...
Phone fraud, or more generally communications fraud, is the use of telecommunications products or services with the intention of illegally acquiring money from, or failing to pay, a telecommunication company or its customers. Many operators have increased measures to minimize fraud and reduce their losses.
Generally individual calls are rated and then the rated amounts are sent to a billing system to provide a bill to the subscriber. Often the rating system will be a module of a larger "Billing System" architecture. A rating system must be adapted to the constantly changing pricing policies, which have the strategic goal of stimulating demand. [2]
Health care fraud includes "snake oil" marketing, health insurance fraud, drug fraud, and medical fraud. Health insurance fraud occurs when a company or an individual defrauds an insurer or government health care program, such as Medicare (United States) or equivalent State programs. The manner in which this is done varies, and persons engaging ...
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