NetMap
Fight organized insurance fraud with advanced link analysis
Discover the hidden relationships and connections among claimants, providers, and businesses to help identify organized insurance fraud. NetMap’s advanced analytics greatly enhance the SIU’s ability to discover fraud rings within their company’s claims. The software quickly evaluates claim information, public records, and other data to reveal patterns indicative of fraud.
61% of insurers say organized fraud is increasing, according to the Coalition Against Insurance Fraud.
Find fraud ring activity faster
Uncover suspicious networks faster
NetMap® uses sophisticated node link analysis and fraud analytics to find connections among massive amounts of data. It helps insurers:
- Compress weeks of complex, multi-claim analysis into hours
- Analyze carrier, industry, and third-party claims data
- Identify suspicious claims patterns and trends proactively
- Reduce the burden on investigative resources
- Organize case data from multiple sources into one location
Access extensive data from various sources
The powerful solution has direct query access to ClaimSearch and analyzes several data sources, including:
- Medical billing data, such as treatment audit and diagnosis codes, service dates, patient name, and provider name
- Weather event history for specific dates and locations
- NICB Forewarn and MedAware alert data
- Human resources data, financial records, and policy information
Get fast claims fraud analysis and enhanced insights
Get fast claims fraud analysis and enhanced insights
Powerful analytics and data visualization technology help SIU analysts discover intricate patterns of fraudulent activity quickly. NetMap compresses weeks of analysis into hours, helping streamline organized claims fraud investigations and reduce the time from detection to referral.
NetMap Dashboard
NetMap also helps SIU analysts by providing:
An interface to Google Maps for location insights
Powerful workflows and reporting capabilities to increase efficiency
Quick implementation with minimal IT lift
Discover intricate fraud patterns fast
Learn how NetMap helps detect the most sophisticated fraud network with advanced analytic tools.
For more Verisk claims fraud solutions, check out:
Detect claims fraud quickly and accurately with predictive analytics
Detect claims fraud quickly and accurately with predictive analytics
Insurers need to determine quickly and efficiently whether a claim is likely to be fraudulent—or if it can be fast-tracked for settlement. ClaimDirectorSM uses the power of predictive analytics to score claims with greater accuracy and reveal questionable attributes.
Identify medical provider fraud quickly and accurately
Identify medical provider fraud quickly and accurately
Insurers need to detect unethical medical billing practices early to reduce claim leakage and process legitimate bills faster. MedSentry® uses predictive analytics and expert clinical analysis to uncover fraudulent medical provider fraud in your billing data. It also delivers detailed reports to help guide investigations.
Get missing details to complete claims
Get missing details to complete claims
Find the critical data you need at FNOL (first notice of loss) to help complete claims quickly and spot potential fraud. Decision Net® helps fill in the gaps with supplemental claims information from best-in-class sources. This extensive resource helps claims teams improve decision making, expedite meritorious claims, and increase the impact of SIU referrals.