🏥 Healthcare Claims Fraud Detection System

Detect fraudulent Medicare providers using XGBoost + SHAP Explainability

Upload the provider_features.csv file generated from the raw claims data.

Fraud Predictions (Top 30 Providers)


How it works:

  • XGBoost classifier trained on Medicare provider claims data
  • SHAP values explain WHY each provider is flagged
  • Features: billing patterns, patient volume, claim duration, physician diversity