Abstract: Methods and systems are provided for assessing the potential for fraud of an insurance claim. In some embodiments, request data may be provided to a computer system. In some embodiments, at least one fraud potential indicator may be assessed to the request data from at least one comparison of at least one request data element to at least one fraud model. In some embodiments, a fraud potential indicator may be an estimate of the potential for fraud in an insurance claim. In some embodiments, at least one fraud potential indicator for request data may be assessed based on at least one comparison of at least one request data element to additional insurance data. Some embodiments may include assessing at least one fraud potential indicator for request data based on at least one fraud potential indicator.

Abstract: Methods and systems are provided for assessing the potential for fraud of an insurance claim. In some embodiments, request data may be provided to a computer system. In some embodiments, at least one fraud potential indicator may be assessed to the request data from at least one comparison of at least one request data element to at least one fraud model. In some embodiments, a fraud potential indicator may be an estimate of the potential for fraud in an insurance claim. In some embodiments, at least one fraud potential indicator for request data may be assessed based on at least one comparison of at least one request data element to additional insurance data. Some embodiments may include assessing at least one fraud potential indicator for request data based on at least one fraud potential indicator.

Abstract: Methods and systems are provided for displaying a fraud potential indicator graphical interface. In some embodiments, at least two fraud potential indicators may be displayed for at least two fraud potential detection techniques for business transactions. In some embodiments, fraud potential indicators may be used to rank the business transactions in order of fraud potential. Business transactions and their fraud potential indicators may be selected to display additional information about the business transaction or fraud potential indicator selected. For example, a fraud potential indicator may be selected to display information about the fraud potential detection technique that assessed the selected fraud potential indicator. In some embodiments, tabs may be selected to display additional information and/or organized lists of business transactions and fraud potential indicators.