Detection Engine
Upload payment records or load the sample dataset to run all five detection algorithms.
Drop CSV here or click to upload
Supports payment records from Medicare, Medicaid, SNAP, and custom formats
Required columns: recipient_id, amount, payment_date · Optional: ssn_last4, service_code, provider_id
or
Medicare Sample DatasetFY2024
~500 synthetic Medicare Part B/A claims with seeded anomalies. Includes known duplicates, deceased recipients, statistical outliers, and velocity fraud patterns.
~500
Records
~90
Seeded flags
3
Programs
Active Detection Algorithms
Duplicate Payment
Same recipient, same amount, same payment period
Deceased Recipient
SSN matches SSA Death Master File
Statistical Anomaly
Amount > 2.5σ above service-code mean
Missing Documentation
Required fields absent on submitted claim
Velocity Fraud
Provider billed same recipient 4+ times / 7 days
Eligibility Breach
Recipient exceeds income or other eligibility threshold