Abstract: Methods and systems for determining the importance of each of the variables, or combinations of variables, that contribute to the overall score generated by a predictive statistical model are presented. In a specialized case, for each variable in the model, an importance is calculated based on the calculated slope and deviance of the predictive variable. In a more general case, for each variable in the model, an importance is calculated based on setting that variable to have the average value for the data set, and then calculating the change in score. The totality of variables (or combinations thereof) is then ranked by the ?score, or a magnitude of it, such as |?score|.

Abstract: An unsupervised statistical analytics approach to detecting fraud utilizes cluster analysis to identify specific clusters of claims or transactions for additional investigation, or utilizes association rules as tripwires to identify outliers. The clusters or sets of rules define a “normal” profile for the claims or transactions used to filter out normal claims, leaving “not normal” claims for potential investigation. To generate clusters or association rules, data relating to a sample set of claims or transactions may be obtained, and a set of variables used to discover patterns in the data that indicate a normal profile. New claims may be filtered, and not normal claims analyzed further. Alternatively, patterns for both a normal profile and an anomalous profile may be discovered, and a new claim filtered by the normal filter. If the claim is “not normal” it may be further filtered to detect potential fraud.