Which of the following procedures would be most effective in detecting fraud in electronically-submitted claims to insurance companies?
A) Creating a monitoring program that detects unusual claims to be investigated by the claims department.
B) Using generalized audit software to match the claimant identification number with a master list of valid policyholders.
C) Testing the accuracy of processing by using integrated test facilities.
D) Creating batch controls over all claims arriving from a particular organization and process those claims separately.

Question

Quizplus · Accepted Answer

Creating a monitoring program that detects unusual claims allows for the identification of anomalies or patterns indicative of fraud, making it an effective method for detecting fraudulent claims.

Which of the Following Procedures Would Be Most Effective in Detecting