DATE: Monday, Sept. 20, 2004
TIME: 4:00 pm
PLACE: Council Room (SITE 5-084)
TITLE: Text Analytics for Fraud and Abuse Detection in Medical Insurance Claims
PRESENTER: Fred Popowich
Professor, School of Computing Science, Simon Fraser University
Chief Technology Officer, Axonwave Software Inc.
ABSTRACT:

A fraud and abuse auditor application is introduced which processes both structured and unstructured information associated with medical insurance claims. The application makes use of a natural language processing engine, together with application-specific knowledge in the form of a taxonomy, written in a constraint-based concept specification language. Issues related to the operation of the application are discussed.