ZS built a machine learning anomaly detection engine that flagged over $25 million in potential co-pay card fraud.
A specialty therapy co-pay programme had suspected fraud hidden among very large transaction volumes. ZS built a proprietary ML system through assessment, proof of concept and operationalisation with semi-supervised learning and continuous monitoring. The page reports 20+ pharmacies blocked, $25M+ in fraud flagged, 50+ on a watchlist and 70+ pharmacies linked to misuse.
ZS Associates is a consulting and technology firm for life sciences, used by pharma for commercial analytics, AI sales applications, KOL intelligence and fraud detection
This sits in the Ship stage of the AI use-case lifecycle: Named examples from the vendors pharma teams use to get an AI system live inside a real, regulated production workflow — validation, CRM, safety and clinical systems of record.
Published by ZS Associates on its own site — read the original case study on zs.com ↗
Related use cases
- 01ZS and Takeda Oncology built an AI app using real-world data for next-best actions in about four months.
- 02ZS deployed ZAIDYN Medical Opinion Leader Intelligence in six weeks and found 300 previously unknown KOLs.
- 03Aerie used ZAIDYN Commercial on AWS to equip its sales force for two eye-drop launches.
- 04Transforming Content Operations for 2x Faster Time to Market
- 05Astellas: Breaking Access Barriers with Veeva Compliant Chat
- 06How Pacira Generated Deep Website Insights to Get Patients on Therapy Faster