About this paper
When thinking about the fraud in health care, people tend to think about the integrity of the way claims are presented – and they tend to think about it as a provider issue. Jay King and Julie Malida of SAS want to shift the conversation to the multimillion-dollar question: Is your plan actually covering the people you think you're covering? This white paper summarizes a webinar in which King and Malida share insights about the scope of eligibility fraud, the data sources you can use to address it, and five real-world case studies of eligibility fraud detection in action.
SAS is the leader in business analytics software and services, and the largest independent vendor in the business intelligence market. Through innovative solutions, SAS helps customers at more than 75,000 sites improve performance and deliver value by making better decisions faster. Since 1976 SAS has been giving customers around the world THE POWER TO KNOW®.