A computerized arrangement for detecting potentially fraudulent suppliers
or providers of goods or services includes a processor, a storage device,
an input device for communicating data to the processor and storage
device, and an output device for communicating data from the processor and
storage device. The storage device includes a claims data file for storing
information relating to a plurality of claims submitted for payment by a
selected supplier or provider, one or more encoding lookup tables for use
with the claims data file to produce an encoded claims data file, and a
neural network program for analyzing the encoded data to produce an
indicator of potentially fraudulent activity. The indicator may be
compared to a predetermined threshold value by the apparatus or method to
identify fraudulent suppliers. In addition to the neural network, at least
one expert system may be used in the identification process.