BaseBit team detect and prevent insurance fraud, waste and abuse by a multi-stage, human expert and machine learning driven solution that covers the entire process of patient’s hospital visits and insurance claims. Our solutions target medical insurance fraud and illegal activities, predict payment trend of government medical insurance funds, and monitor the compliance to regulations and policies. Based on the classification and evaluation of the risks, recommendations for risk control measures and policy adjustments are made.
PRODUCT INTRODUCTION
Product Introduction
BaseBit team detect and prevent insurance fraud, waste and abuse by a multi-stage, human expert and machine learning driven solution that covers the entire process of patient’s hospital visits and insurance claims. Our solutions target medical insurance fraud and illegal activities, predict payment trend of government medical insurance funds, and monitor the compliance to regulations and policies. Based on the classification and evaluation of the risks, recommendations for risk control measures and policy adjustments are made.
PRODUCT & SERVICE
Product service
Medical Insurance Fraud
Illegal Medical Behavior
Prediction Of Payment Trend Of Medical Insurance Funds
Compliance To Government Medical Insurance Regulations
PRODUCT & SERVICE
Product service
Medical Insurance Fraud
Illegal Medical Behavior
Prediction Of Payment Trend Of Medical Insurance Funds
Compliance To Government Medical Insurance Regulations
ID authentication for claims
Fast claim data network
Case survey data analysis
Artificial Intelligence Model System
Artificial intelligence model system
With an extensive knowledge base and deep understanding of government policies and regulations, BaseBit has built its proprietary intelligent risk control model system, including behavioral correlation models, supervised learning models, unsupervised learning models, medical cost and practice consistency models, DRGS cost control and anti-fraud models, etc. The models provide payers with pinpoint clues and action recommendations to battle the unreasonable expenditure growth of the medical insurance funds caused by frauds and other abuses.
With an extensive knowledge base and deep understanding of government policies and regulations, BaseBit has built its proprietary intelligent risk control model system, including behavioral correlation models, supervised learning models, unsupervised learning models, medical cost and practice consistency models, DRGS cost control and anti-fraud models, etc. The models provide payers with pinpoint clues and action recommendations to battle the unreasonable expenditure growth of the medical insurance funds caused by frauds and other abuses.
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