Upar "High-risk", "Medium-risk", "Low-risk" ginti aur "Bills scanned", "Payments scanned". Alerts High pehle. Kuch na mile to "✅ No suspicious patterns detected in the last N days.". Ye sirf shak hai, saboot nahi: cancel karke dobara banaya bill bhi duplicate dikh sakta hai (scan cancel bill ko alag nahi karta), aur jis payment me thoda bhi cash split ho uska poora amount cash gina jaata hai. Refund ka koi alag check nahi hai. Ye AI nahi, seedha hisaab hai — credits nahi lagte.
Fraud Detection kin cheezon par alert deta hai?
Fraud Detection 5 pattern dhoondhta hai: (1) Cash-heavy din — din ki kul wasooli ₹10,000+, 5+ payment aur 85%+ cash (Medium); (2) Duplicate bill item — ek hi patient ka same item 2 din ke andar dobara billed (High); (3) Phantom patients — 30 din se purane registration jinka kabhi treatment/bill/payment nahi (20 se zyada = High, warna Low); (4) 40% se zyada discount wale bills (Medium); (5) ek collector ka ₹50,000+ bina bill se jude payment (Medium).
Where in ORALZY: Insights → Clinic Health → AI & Alerts → Fraud Detection
Quick steps
- Fraud Detection kholo
- Window chuno aur "Run Scan"
- Har alert ka title aur detail padhkar khud jaanch karo