For example, the
Utah Bureau of Medicaid Fraud has mined the mass of data
generated by millions of prescriptions,
operations and treatment courses to identify unusual patterns and uncover fraud
[12].
As a result of fraud and abuse detection,
ReliaStar FinancialCorp.
has reported a 20 percent increase in annual savings,
Wisconsin Physician’s Service Insurance Corporation has noted significant savings [13] and the Australian Health Insurance
Commission has estimated tens of millions of dollars of annual savings.