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Real Time Prescription Fraud Detection

Tracking down fraud in a real time environment

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Written by Nick Laughton
Updated 4 months ago
Less than a minute read

This app was built to ingest real-time FHIR data streams and apply anomaly detection rules to give a live fraud dashboard. The dashboard shows real-time charts for specific indicators on prescription fraud - e.g. distance from Pharmacy, number of providers, and refill overlap.

Real Time Fraud dashboard showing indicators

Each of the charts on the dashboard is populated by derivation logic, which can be visualized by clicking into the chart. In this case, if the count of patient-provider relationships exceeds a predefined threshold, an investigation is triggered.

Real Time Fraud app showing indicator configuration

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