The goal of this project is to predict potentially fraudulent providers based on claims filed by them.We intend to discover important attributes helpful in detecting the behaviour of potentially fraud providers and studying these patterns to understand the future behaviour i=of providers using data mining techniques.
##Exploratory Data Analysis
We take note of the top 10 procedures. B. We take note of the top 10 diagnosis code . C. we count of involvement of attending physicians D. we see that occurrence of fraud cases is more frequent in lower age groups(30-70 years) compared to higher age groups(70+ years)