DIA decision engine provides intelligent
risk control competence for insurance
industry and administrators

Core Competitiveness Of Risk Control
Intelligent risk control and anti-fraud service——STPA
DIA decision engine provides intelligent risk control competence for insurance industry and administrators
Core Competitiveness Of Risk Control
Intelligent risk control and anti-fraud service——STPA
STPA

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 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

PRODUCT HIGHLIGHTS

Feature highlights
  • Risk control solutions
    RISK CONTROL CAPABILITY
    Risk control solutions
    Risk assessment & monitoring
    Intelligent claim auditing
    Audit management
  • Data solutions
    DATA FUNCTION
    ID authentication for claims
    Fast claim data network
    Case survey data analysis

PRODUCT HIGHLIGHTS

Feature highlights
  • Risk control solutions
    RISK CONTROL CAPABILITY
    Risk control solutions
    Risk assessment & monitoring
    Intelligent claim auditing
    Audit management
  • Data solutions
    DATA FUNCTION
    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.

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.
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