Live Claim Feed
Pattern Analysis Alerts
11 active alerts
14 participants switched to Provider PRV-2290 in Blacktown within 8 days. Statistically improbable organic growth.
Provider PRV-3377 shows identical 3.75h durations across 89% of caseload (312 claims). Expected variance: ±15%.
Participant PRT-7721 changed address, provider, and spending spiked 340% simultaneously. Classic trafficking indicator.
Matching claim patterns between PRV-2290 and PRV-7781: identical service times, durations, and participant overlap on 23 claims.
Director of new registration PRV-9801 matches banned director from PRV-1102 (deregistered Feb 2026 for $1.2M fraud).
Participant PRT-3345 has consumed 72% of annual plan in 4 months. Current provider billing 3.2x national average for similar support level.
Clinical reports from PRV-8891 show 94% text similarity across 18 different participants. Possible template fraud.
PRV-7781 shares registered address and bank account with nominee of 4 participants they serve. Conflict of interest.
Participant PRT-5502 has had a single support worker for 127 consecutive days with zero contact from secondary workers, family, or welfare visitors. Contact network shrinking — 3 contacts removed in 60 days.
PRV-8891 recommends 4.2x the national average of psychology sessions per participant. 31 participants receive identical weekly 3h therapy blocks — well above benchmark norms.
Provider PRV-3377 claims show 100% GPS match, 100% biometric pass, and zero variance across 245 submissions. Statistically improbable for genuine in-home services.