Prescription Drug Fraud and Abuse Detection Application

Category: Data Mining, Data Processing & Validation

Technologies

SAS, Oracle

About

DAS was instrumental in developing the 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 analyzes 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. DAS also developed a “fuzzy merge” application to clean and match medical provider data to addresses.