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Whitepaper: Health Insurance Claims Fraud Detection

WebSeptember 6, 2020. Fraud Detection & Prevention, Insurance, Whitepapers. Insurance companies and providers of health care benefits lose hundreds of millions of dollars …

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URL: https://alessa.com/whitepapers/health-insurance-claims-fraud-detection/

Batling Health Insurance Claims Fraud

WebInsurance companies and providers of health care beneits lose hundreds of millions of dollars yearly due to fraudulent claims for health beneits.

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COVID-19 Medical Supply Scams

WebThe U.S. government’s Financial Crimes Enforcement Network (FinCEN) is concerned that too many COVID-19 medical supply scams and fraud cases are popping …

Category: Medical Go Health

Vendor Due Diligence: What Is It and Why Does It Matter

WebVendor due diligence (VDD) is a systematic process of evidence-gathering and assessment that helps businesses evaluate potential partners and acquisition …

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Insurance Claims Monitoring Solutions With Alessa

WebSolution. To meet the above needs the insurance company chose Alessa. The solution does the following for all their health claims: Aggregates data from internal …

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FinCEN: Latest News, Guidance and Advisories

WebOct. 15, 2020 – Identifying Human Trafficking. FinCEN has issued an advisory to help financial institutions identify and report human trafficking. The advisory …

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ACH Fraud: An Overview and Best Practices for Prevention

WebIn 2022, U.S. account holders transacted 30 billion ACH payments worth over $76 trillion. Unfortunately, ACH payments are increasingly used for fraud. The system is …

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What Is the SDN List

WebSeptember 5, 2023. AML Compliance, Blog. The Specially Designated Nationals and Blocked Persons List (SDN) is a record of individuals, groups, and entities considered to …

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Sagicor Financial: Alessa for Health Insurance Claims Monitoring

WebSagicor Financial: Alessa for Health Insurance Claims Monitoring. Sagicor Financial Corporation is one of the oldest insurance groups in the Americas and is …

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Fraud Detection & Prevention Archives

WebInsurance Fraud Detection and Prevention with Alessa. For insurers looking to increase profitability, Alessa is a solution that connects with existing IT systems and incorporates …

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Whitepapers Archives

WebSanction and Watchlist Screening and Filtering: Best Practices. This white paper looks at how to monitor and screen individuals, entities and transactions as well as best practices …

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Regulatory Reporting Requirements for AML Compliance

WebAlessa covers all anti-money laundering requirements in a single platform, including Know Your Customer, sanctions list screening, transaction monitoring and …

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Success Story: Vendor Fraud at Queensland Health

WebQueensland Health needed to address deficiencies in its budgetary controls after one of its staff members exploited the holes to the tune of nearly $17 million over …

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Customer Due Diligence: Meeting Regulatory Expectations

WebCustomer due diligence (CDD) is a fundamental component of an effective AML compliance program. It involves the collection of relevant customer information, …

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Customer Risk Factors: Score, Behavior, Activities and More

WebThe customer risk score is comprised of three categories of risk: customer characteristics; products, services, activities and behaviors; and geographic risk. Once …

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COVID-19 Fraud Scams: Tips for AML Compliance

WebRead about tips for AML compliance during covid-19, as new fraud and scams emerged, explained by the software solution providers at Alessa.

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Identifying TBML: 8 Trade-Based Money Laundering Red Flags

WebLet’s look at eight common red flags that may indicate TBML. 1. Invoicing and Shipping Discrepancies. Discrepancies between goods that are shipped and the …

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