Archive for the ‘Fraud’ Category

Identity Resolution Daily Links 2010-02-23

Tuesday, February 23rd, 2010

By the Infoglide Team

WFAA.com: What is Texas doing to prevent terrorism?

“The Dallas police has a high tech fusion center that monitors potential threats in Dallas. They helped foil the plot when a man was planning on blowing up the Bank of America building… Four years ago, Dallas Police put alert on Kimberly Al-Homsi because she was scouting runways at Love Field. On Saturday, she was arrested allegedly with pipe bombs in her car.”

Liliendahl on Data Quality: Candidate Selection in Deduplication

“When a recruiter and/or a hiring manager finds someone for a job position it is basically done by getting in a number of candidates and then choose the best fit among them. This of course don’t make up for, that there may be someone better fit among all those people that were not among the candidates. We have the same problem in data matching when we are deduplicating, consolidating or matching for other purposes.”

Health Data Management: New Obama Health Plan Has I.T. Angles

“Proposals in Obama’s new proposal with a strong I.T. flavor include… Adopt real-time analysis of claims and payments data to identify waste, fraud and abuse in public health programs… Establish a CMS/IRS data-matching program to match information on entities that have evaded filing taxes against provider billing data to better detect fraudulent providers.”

Identity Resolution Daily Links 2010-02-20

Saturday, February 20th, 2010

[Post from Infoglide] Identity Resolution Still On the Rise

“We’ve noted several times over the past couple of years how the market visibility of entity resolution has been evolving. Now the consolidation of the master data management (MDM) market is causing even more conjecture about the crucial role of this technology.”

SIGNAL ONLINE: Good Guys Share, Bad Guys Lose

“Lindsey adds that personnel on Joint Terrorism Task Forces, in fusion centers or in other counterterrorism-related positions could benefit from the system by accessing the more complete data source and incorporating information found there into their own analyses and evaluations. ‘We’re out there for the crime fighters, but we’re also out there to prevent terrorism activities,’ he states.”

Claims Magazine: Fraud Triage Programs 

“The Federal Bureau of Investigation estimates that the total cost of insurance fraud (excluding health care) exceeds $40 billion per year. That means insurance fraud costs the average U.S. family between $400 and $700 annually in the form of increased premiums. In California alone, the Department of Insurance (CDOI) identified the potential loss from fraud in the 2007/2008 fiscal year at $1.2 billion, according to the 2008 Annual Report of the Insurance Commissioner.”

FoxNews.com: Flight Diverted to Florida Over Passenger’s Mistaken Identity

“Some airlines already have moved to a new identification program, called Secure Flight. All domestic carriers are expected to move to the new program by March. The government system will include more details about the passenger in question, including the passenger’s sex, birth date and full name as it appears on a government identification document.”

Precision Document Imaging: What is EMR?

“The American Recovery and Reinvestment Act of 2009 provides significant cash incentives to physicians who implement electronic health records. However, in order to qualify for these incentives the physician must not only have the proper software but must engage in “meaningful use” of the software. The government plans to publish the criteria for meaningful use in February 2010. ARRA incentive reimbursement to physicians will begin in 2011.”

Identity Resolution Daily Links 2010-02-16

Tuesday, February 16th, 2010

By the Infoglide Team

itWorldCanada: IBM has ulterior motives with Initiate: Informatica

“IBM owes it to its customers to explain if, when and how it plans to rationalize and integrate the overlapping MDM and data quality technology, said Ivan Chong, executive vice-president of the Redwood City, Calif.-based company’s data quality product division. ‘If I were them, I would have the impression that IBM is repurposing the technology for something completely different,’ said Chong.”

naplesnews.com: Naples, Marco and Collier law enforcement officials announce participation in database sharing

“Of the more than 300 law enforcement agencies in Florida, 105 — including the Lee and Charlotte county sheriffs’ offices — are currently sharing information on FINDER. Another 41 are currently utilizing the database, but aren’t sharing information. ‘The more departments we can get involved, the better,’ Weschler said. In the coming months, the Southwest Florida regional fusion center is slated to be operational. As an information hub, the center will gather, digest and compare data from across 10 Southwest Florida counties and 72 other fusion centers in the United States.”

Information Week: Global CIO: Will Informatica’s Surging Success Trigger A Takeover?

“But as Abbasi and his team at Informatica continue to grow faster than most software companies, and as CIOs continue to realize how valuable Informatica’s data-integration and data-quality tools can be, and as it grows and expands into new areas such as MDM via its Siperian acquisition, Informatica’s value to those big software companies is soaring.”

9news.com: Covert videotaping: a tool to fight crime or intimidate people?

“‘It’s just a blatant attempt to obtain benefits and money,’ Cosson said. ‘If someone files a false claim or is working while receiving benefits, ultimately that results in a loss of revenue for the insurance company and if they lose revenues, they have to raise rates and then the premiums clearly go up for legitimate businesses all over Colorado.’ The Coalition Against Insurance Fraud says that all insurance fraud costs every family $1,000 a year in higher premiums and it makes goods and services more expensive.”

Identity Resolution Daily Links 2010-02-13

Saturday, February 13th, 2010

[Post from Infoglide] Architectures for Entity Resolution

“In the last post we looked at a formal model for describing entity-based integration. Now let’s turn our attention to how entity resolution (ER) systems are actually implemented.  One of the most important design decisions is whether the system will perform entity identity management.  Systems perform identity management when they create and store the attributes values for the identities that they process.”

tdwi: IBM and Informatica Acquire MDM Capabilities

“The two acquisitions focus the spotlight on two of the hottest functions today, in terms of user organizations adopting them, namely: MDM and identity resolution. More than ever, organizations need trusted data, in support of regulatory reporting, compliance, business intelligence, analytics, operational excellence, and other data-driven requirements. MDM and identity resolution are key enablers for these requirements, so it’s no surprise that two leading vendors have chosen to acquire these at this time.”

PoliceGrantsHelp.com: Building fusion centers for the next decade

“Serrao says that in the time he has spent in a dozen different fusion centers in the United States — coupled with his own background in law enforcement — he’s gleaned several ‘best practices’ for consideration. Ideally, he says, leadership should ’set a specific strategic mission before the center is even built. Everything else follows. Determine the role of the center and whether strategic intelligence analysis will be part of the mix. Then, it will be easier to define what processes will be developed, what reporting mechanisms are needed, what technology is appropriate, and what types of personnel are needed.’”

Prudent Press Agency: Kansas Takes Action Against Lottery Fraud

“The state of Kansas has been conducting sting operations to prevent this kind of theft by lottery terminal clerks. Law enforcement agents fanned out across the state and presented ‘winning’ tickets at several retail lottery outlets. In five separate cases clerks told the agents the tickets were worthless and then tried to redeem the ‘winning’ lottery tickets. The undercover investigation led to charges of attempted theft and computer crime against five people across the state.”

Master Data Movement

Thursday, January 28th, 2010

By Douglas Wood, Infoglide Senior Vice President

I read with interest yesterday’s article at SeekingAlpha which discusses rumors swirling around the MDM software industry.  According to the article, sources suggest that two deals are very near completion.  The first of those rumored transactions would see Informatica picking up MDM provider Siperian.  On the heels of their acquisitions of Identity Systems and AddressDoctor, the Siperian purchase could not be totally unexpected – but would most certainly create some ripple effect worth watching.

The first thing that springs to mind is what Oracle would intend to do with Informatica.  A long-time business partner of Oracle, strengthened through the 2008 purchase of Identity Systems, Informatica could now only be classified as a true and direct competitor to Oracle.  Can Oracle continue to OEM technology (SSA Name3, for example) from what would instantly become a major competitor?  Sleeping with the enemy is one thing… leaving money on the nightstand afterwards is another thing altogether!  It will be interesting to see what happens here, to say the least.

The other rumored acquisition is that of Initiate Systems by IBM.  Thought to be roughly twice the size of Siperian, Initiate would tend to give further credibility to IBM’s vast – and growing – presence in the Health Care industry, where Initiate has become a recognized industry leader.  What muddies the waters, however, would be the question of what IBM would intend to do with Initiate’s entity resolution engine.  In a nutshell, Initiate has been one of two software vendors doing an excellent job of providing technologies applicable for both MDM and fraud/risk related implementations.  Infoglide Software Corporation is the other.

Marketed in an eerily similar fashion to Infoglide’s earlier-released Identity Resolution Engine (is imitation the most sincere form of flattery?), Initiate’s offering in this identity resolution space could become short-lived given IBM’s large and ongoing investment in InfoSphere Identity Insight Solutions (formerly Entity Analytics Solutions).  How soon that would happen, of course, is anyone’s guess.

One thing is certain, however: the need for technology that is applicable to both MDM initiatives and that exposes risk and fraud through matching and linking of entities is very real and growing.  How the other major industry players react – should either or both of these rumors become reality – will define the industry for years to come.

Identity Resolution Daily Links 2009-12-11

Friday, December 11th, 2009

[Post from Infoglide] State Agencies Adopting Entity Resolution

“Significant opportunities to apply identity resolution and entity analytics exist at the state level. State agencies interact with citizens and corporations across many domains, including collection of tax revenues (e.g. oil and gas – I’m from Texas!), licenses (e.g. motor vehicles, hunting, fishing), housing programs, lotteries, child protective services, health care, workers’ compensation, the court system, law enforcement, and homeland security.”

thestar.com: Store owner guilty in $5.75M lottery fraud

“A former convenience store owner has pleaded guilty to defrauding the Ontario Lottery Corporation after misrepresenting a winning ticket worth $5.75 million as his own.”

ZDNet: Cloud computing, so much more than multi-tenancy

“The trouble with talking about multi-tenancy itself is that it draws you into an abstract debate with conventional software vendors over the relative merits of alternative deployment platforms for a given application. This immediately brings the debate onto their home ground — a place where applications are discrete, deployments happen as a batch process and you have to get the system up-and-running before you even start thinking about meeting the business requirement. That’s not where the cloud is at.”

Liliendahl on Data Quality: Phony Phones and Real Numbers

“There are plenty of data quality issues related to phone numbers in party master data. Despite that a phone number should be far less fuzzy than names and addresses I have spend lots of time having fun with these calling digits.”

UALR: UALR Joins National Identity Management Center

Dr. John R. Talburt, the Acxiom Chair of Information Quality at UALR, is an expert in the fields of information quality and entity resolution and will represent UALR at the center. ‘Dr. Talburt is a widely recognized, well-respected expert in the field of information quality and identity resolution. His vast knowledge in these areas of identity management will be an incredible asset for CAIMR and the research we are undertaking this coming year,’ said Dr. Gary R. Gordon, CAIMR’s executive director.”

EDITOR’S NOTE: Infoglide Corporation maintains a partnership with Dr. Talburt and his Laboratory for Advanced Research in Entity Resolution and Information Quality (ERIQ). The Lab conducts research addressing important problems related to entity resolution and information quality.

State Agencies Adopting Entity Resolution

Wednesday, December 9th, 2009

By Robert Barker, Infoglide Senior VP & Chief Marketing Officer

Fresh out of grad school, I initiated a career in software development by writing software for state agencies. Although I migrated to work for software companies several years later, lessons learned in those beginning years were a great platform for later challenges.

Significant opportunities to apply identity resolution and entity analytics exist at the state level. State agencies interact with citizens and corporations across many domains, including collection of tax revenues (e.g. oil and gas – I’m from Texas!), licenses (e.g. motor vehicles, hunting, fishing), housing programs, lotteries, child protective services, health care, workers’ compensation, the court system, law enforcement, and homeland security.

In most of these areas, it’s important to know exactly who you’re dealing with and who their associates are. For example, we’ve partnered with a state workers’ compensation organization to help them detect employers trying to defraud the state by paying lower premiums than they rightfully should. These employers try to foil the state by dissolving and reforming under different company names, but identity resolution is adept at uncovering such unlawful maneuvers.

New entity resolution applications that deal simultaneously with multiple sources of data residing at multiple agencies promise to make state government more efficient and effective. For example, an agency that requires a citizen to supply information during an application process can augment that process with incremental real-time services that find linkages to other data, thus making it possible to stop payments and/or deny licensing to “dead beat dads”, people who have unpaid taxes, etc. until they meet their legal responsibilities.

While using entity resolution in commercial and federal applications is moving rapidly, states have only just begun to exploit this new technology. If you know of areas that need to be addressed, we’d like to hear about them.

Identity Resolution Daily Links 2009-12-01

Tuesday, December 1st, 2009

By the Infoglide Team

WPRI.com: State police crackdown on lottery scams

“‘The clerk opened the cash register and paid our undercover officer $100 dollars,’ said Capt. David Neill of the Rhode Island State Police. ‘On another occasion, our undercover officer presented the $1,000 winning scratch ticket and was told that in fact it was not a winning ticket.’”

naplesnews.com: Editorial: Law enforcement … expanding cooperation, increasing public safety

“The fusion center program aims to make the most of intelligence and technology. That’s collaboration, making teamwork routine rather than something out of the ordinary. That recognizes the age-old truism that crime and criminals know no city or county lines. They move freely to opportunities and hiding places.”

National Terror Alert: Secure Flight Improves Safety And Passenger Delays

“Initially, the Secure Flight program was part of a larger debate about how to identify terrorists consistently while maintaining the privacy of fliers in the post-9/11 world. Once watch list matching was determined to be the correct mechanism, TSA designed the program with privacy and security embedded into its foundation. Secure Flight now uses advanced watch list matching technology and has taken the time to get it right.”

Health IT Buzz: The Evidence for HIT

“Many health care organizations, big and small, public and private, have installed electronic health record systems and are reaping their benefits daily.  Examples include not only national systems like the Veterans Administration and Kaiser Permanente, but regional groups like Geisinger Health System, and individual hospitals like the Beth Israel Deaconess Hospital in Boston, and Lakeland Hospital, a 77-bed facility outside of Omaha Nebraska.  These organizations show that the vision is feasible – health care can be made higher in quality and lower in cost through the best existing HIT.”

Identity Resolution Daily Links 2009-10-09

Friday, October 9th, 2009

[Post from Infoglide] Privacy – A Dying Concept?

“An intriguing post by Nate Anderson on Ars Technica highlights a difficult reality about today’s easy availability of vast quantities of ‘anonymized’ data. Quoting from a recent paper by Paul Ohm at the University of Colorado Law School, Anderson writes that ‘as Ohm notes, this illustrates a central reality of data collection: data can either be useful or perfectly anonymous but never both.’”

ComputerworldUK: Data quality tools sub-par, says analyst

“A recent study on data quality by the Information Difference revealed that respondents view data quality as something that is not restricted to one area within the organisation. Instead, two-thirds of respondents said it is an issue spanning the entire organisation…Specifically, 81 per cent of respondents reported being focused on a broader scope than merely customer name and address data.”

BeyeNETWORK: Master Data Management and the Challenge of Reality

“One of the central problems of master data management, which is often poorly stated, is the need to determine if one individual thing is the same as another individual thing. But the only way we have to do this is by matching records, and a record is not the same as the thing it represents. Unlike The Matrix, we are more in danger of confounding two ‘realities’ rather than recognizing them as distinct.”

Information Management: Business Intelligence: A Blueprint to Success

“Fraud detection. Claims managers are using predictive analytics to help identify potentially fraudulent claims as early as the first notice of loss, and are analyzing claims costs to get a better handle on negative trends.”

Government Computer News: How entity resolution can help agencies connect the dots in investigations

“Imagine a law-enforcement scenario. A local police department has information on a crime suspect. Court systems, corrections facilities, the department of motor vehicles and even child-support enforcement may also have information on this person of interest, each specific to its own needs and applications. Implementation of an entity-centric environment would enable each of the organizations and systems to continue its operations while also providing the police a much more holistic view of the crime suspect along with potentially important pieces of information.”

Identity Resolution Daily Links 2009-9-25

Friday, September 25th, 2009

By the Infoglide Team

[Post from Infoglide] Social CRM, CDI, and Identity Resolution

“In her well-read book on CDI, Jill Dyché offers a definition of CDI that also seems to describe social CRM. Try reading her definition of CDI, replacing ‘CDI’ with ’social CRM’:  CDI is a set of procedures, controls, skills and automation that standardize and integrate customer data originating from multiple sources(1).”

Charleston Daily Mail: Former owner of WVa trucking company sentenced

“Leonard Cline formerly owned H & H Trucking. The insurance commissioner says he defrauded the old state workers’ compensation system of more than $500,000 in unpaid premiums, penalties and claims for benefits over about 10 years.”

WTVQ: Eight People Indicted for Insurance Fraud

“The US attorney’s office says the suspects intentionally damaged insured automobiles owned by other conspirators then filed claims.”

KansasCity.com: Push for electronic medical records picks up steam

“With or without health care reform this year, electronic medical records are picking up steam. Recent technological advances are easing the transition for doctors and hospitals, and there’s the little matter of the Health Information Technology for Economic and Clinical Health Act. The act, part of last spring’s stimulus package, included billions of dollars to ‘advance the use of health information technology.’ There’s plenty of advancing to do, with one group estimating that less than half the hospitals and only one in five physicians are equipped to fully use electronic records. ‘The United States is far more advanced in grocery store technology than in medical records technology,’ said Steve Lieber, president and chief executive officer of the Healthcare Information and Management Systems Society in Chicago.”

pnj.com: Man charged with workers’ comp fraud

“Florida Chief Financial Officer Alex Sink announced the arrest today in a news release. In the release, Sink said her Division of Insurance Fraud said Soto is charged with falsifying employment numbers with the intent of avoiding higher workers’ compensation premium payments.”

Federal News Radio: Update: Identity management in the Obama administration

“The alphabet soup of identity management programs from the Bush administration — HSPD-12, TWIC, Real ID, and many more — have gotten little attention publicly during the first nine months of the Obama presidency. But that doesn’t mean identity management has been ignored totally, says one senior administration official.”

London Evening Standard: Lloyd’s chief warns of more insurance fraud

“Lloyd’s of London’s chief executive Richard Ward today warned the deep recession would increase the number of fraudulent claims being made against the insurance market.”

Computerworld: Laptop searches at airports infrequent, DHS privacy report says

“The U.S. Department of Homeland Security’s annual privacy report card revealed more details on the agency’s  controversial policy involving searches of electronic devices at U.S. borders. . . . For instance, numbers released in the report indicate that warrantless searches of electronic devices at U.S. borders are occurring less frequently than some privacy and civil rights advocates might have feared. Of the more than 144 million travelers that arrived at U.S. ports of entry between Oct. 1, 2008 and May 5, 2009, searches of electronic media were conducted on 1,947 of them, the DHS said.Of this number, 696 searches were performed on laptop computers, the DHS said. Even here, not all of the laptops received an ‘in-depth’ search of the device, the report states. A search sometimes may have been as simple as turning on a device to ensure that it was what it purported to be. U.S. Customs and Border Protection agents conducted ‘in-depth’ searches on 40 laptops, but the report did not describe what an in-depth search entailed. . . . The report chronicled similar efforts to monitor the privacy implications of a range of projects that privacy groups are also watching. Examples include  Einstein 2.0 network monitoring technology that improves the ability of federal agencies to detect and respond to threats, and the  Real ID identity credentialing program. The DHS’s terror watch list program, its numerous  data mining projects  and the secure flight initiative were also mentioned in the report.”

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