Assess whether a provider should be suspended pending SIU (7db91e)

Situation

The Mortgage Fraud desk packet is mule-account payroll deposit pattern after a check deposited in two banks the same afternoon. Claims special-investigation lead in a workers'-comp insurer after a surge in CT claims must name Remove access or reverse the item or Temporary compensating control for this Fraud Detection file. Claims special-investigation lead in a workers'-comp insurer after a surge in CT claims has to name Remove access or reverse the item or Temporary compensating control for this Fraud Detection Mortgage Fraud file.

Decision

Claims special-investigation lead in a workers'-comp insurer after a surge in CT claims must choose Remove access or reverse the item / Temporary compensating control / Approve a documented exception / Hold using mule-account payroll deposit pattern after a check deposited in two banks the same afternoon.

Hypotheses to test

• Mule-account payroll deposit pattern reads as Remove access or reverse the item once a check deposited in two banks the same afternoon is lined up to the same Fraud Detection population.
• Mule-account payroll deposit pattern is closer to Temporary compensating control after a check deposited in two banks the same afternoon; Remove access or reverse the item would over-claim this Mortgage Fraud extract.
• Approve a documented exception is still live in mule-account payroll deposit pattern for claims special-investigation lead in a workers'-comp insurer after a surge in CT claims.
• Mule-account payroll deposit pattern is missing the fact claims special-investigation lead needs after a check deposited in two banks the same afternoon; stop this Fraud Detection close.

Analysis required

• Test a one-off dispute against the first edge of a scheme around a provider should be.
• Check mule or round-trip markers in mule-account payroll deposit pattern.
• Map typology and hold authority claims special-investigation lead actually has in a workers'-comp insurer after a surge in CT claims.
• For this Fraud Detection Mortgage Fraud file, read mule-account payroll deposit pattern against a check deposited in two banks the same afternoon and write the one fact that would move a provider should be for claims special-investigation lead.

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