Ping An Medical Insurance Technology Big Data AI Risk Control System utilizes AI technology to identify data anomalies, and identify fraud, cheating, and violations among the data anomalies. Among other things, AI-supported anomaly identification, AI-supported data governance, automation of coding work, and automation of table alignment are the unique competencies of this risk control system.

Ping An Medical Insurance Technology's AI big data wind control system focuses on the seven major pain points of medical insurance wind control. At the level of algorithm design, it includes a variety of Ping An Medical Insurance Technology's characteristic anomaly identification algorithms, and uses a variety of advanced AI algorithm integration solutions to effectively tap potential fraudulent insurance fraudsters.

In the process of data governance, automated code pairing and automated table alignment technology are used to reduce the cost of manual code pairing; at the level of the knowledge base, the unique 360° portrait system and scenario library, standard indicator library, statistical rule library, policy rule library, experience rule library, and special governance library are constructed, which support multi-dimensional anomaly identification.

In terms of architecture, the innovative application model*** enjoys the architecture so as to achieve a fast and balanced analysis of small-volume and large-volume data, realizing multiple goals such as stability, speed, and resource saving.

Extended information:

. p>It is reported that the Ping An medical insurance technology AI big data risk control system has realized the landing application in 12 provinces and cities across the country, providing the provincial and municipal medical insurance bureaus with the overall solution of big data collection, storage, processing, analysis and services for medical insurance risk control, and realizing data-driven operation and decision-making.

In July of this year, the General Office of the State Council issued the "Guiding Opinions on Promoting the Reform of the Supervisory System of the Medical Insurance Fund", which explicitly requires "the establishment and improvement of the intelligent monitoring system of medical insurance and the strengthening of the application of big data. Accelerate the establishment of provincial and even national centralized and unified intelligent monitoring system, to realize the fund supervision from manual sampling and audit to big data all-round, full-process, full link intelligent monitoring change."

Peace of mind medical insurance technology "AI big data wind control system" can be said to step on the policy wind mouth, through the leading data technology, effectively help around the fight against fraud insurance, comprehensively enhance the level of fund supervision.