By working with Concord Europe’s AI Cloud platform, our client developed an analytics application that analyzed internal and external data to flag and evaluate malicious activities by in-network providers.

The approach collected external, publicly available unstructured data augmented with governmental and internal enterprise data to apply an array of NLP, ML, and deterministic approaches in a continuous manner.

After a month of operating under the newly created system, our client:

• Identified 612 questionable providers potentially involved in fraudulent activities
• Saved $2.3B USD in damages against the national and private insurance funds
• Cleaned up 500+ malicious providers from the network
• Improved providers’ data reliability by 250%