Prescription Drug Fraud and Abuse Detection Application

Category: Data Mining, Data Processing & Validation

Technologies

About

DAS was instrumental in developing a Prescription Drug Fraud and Abuse Detection Application that is currently used by US Drug Enforcement Agency. The application identifies and documents questionable transactions (prescriptions) and to analyze long-term behavior of physicians, pharmacists and patients as it relates to the sale and/or purchase of prescription drugs. Questionable activity contained within 3 billion transaction records is identified through segmentation, clustering, and comparative analytics.
The process is also able to identify and document possible collusion between the parties. We also developed a “fuzzy merge” application to clean and match medical provider data to addresses.