Health insurance fraud costs billions annually, often involving organized networks of fraudulent medical providers. DataWalk offers a cutting-edge solution that enables rapid detection of fraud patterns using comprehensive datasets, such as NPI, NICB alerts, billing records, and public medical registry data.
The platform’s Universe Viewer provides a visual representation of interconnected data sources, making it easy to conduct complex visual queries and identify outliers. For example, users can filter out vetted medical providers and spotlight out-of-network clinics billing excessive amounts. DataWalk’s drag-and-drop import feature ensures seamless integration of NICB alerts to detect fraud-linked clinics flagged for suspicious activity. Additionally, instant visualizations like link charts and geographical heatmaps reveal critical connections, making complex organized crime structures clear at a glance.