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White Paper

Before Claims Fraud, What About Eligibility Fraud?

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.

Acerca de SAS

SAS es la compañía líder de software y servicios de Business Analytics, y el mayor proveedor independiente del mercado de Business Intelligence. A través de soluciones innovadoras, SAS ayuda a clientes en más de 80.000 instalaciones a mejorar el rendimiento y crear valor con una toma de decisiones más rápida. Desde 1976, SAS proporciona a sus clientes en todo el mundo THE POWER TO KNOW®

 

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