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Overview
Data Mining
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Data Mining
Our data analysis / mining services, including claims audit, provide significant benefits to our clients, such as cost savings, validation of contract performance, and internal audit oversight. Using information already available in existing data repositories, effective data analysis can provide insight to our client's business that they may be otherwise unable to offer. Our data analysis / mining services can provide benefit to our customers in many situations including:
  • Healthcare Claims - We can provide services to identify potential fraud, overpayment or over utilization of healthcare benefits resulting in potential real dollar recoveries for our clients. Typically, this service will also identify IT systems control failures.
  • Bank Lending - Analysis of the loan portfolio can provide useful information including lending over authorized limit or approved amounts, unidentified risks (LTV ratios), uncollected fees, and management reporting.
  • Accounts Payables - Duplicate payments, unauthorized payments and payments outside of contract terms can add up to significant savings for our customers.
Interactive Solutions, LLC offers generalized data analysis / mining services tailored to specific vertical industry needs. Generally speaking, our service offering will encompass the following steps:
  • Data Acquisition - Receive data files from the client that make up the universe of items to be examined.
  • Research and Risk Assessment - Interview the client on their needs and generate a list of potential areas of interest.
  • Data Query - Construct, execute and validate queries to identify potential recoveries, over payments or fraud.
  • Analysis and Presentation - Analyze reports and present findings to management.