Know Your Data
(The way NICB receives) Information provided from the public alleging an entity is involved in insurance fraud activity.
What is the NICB Hotline or Fraud Tip Program?
(The method) to request bulk data, statistics, cell phone analysis or get help with a query.
What is the NICB Support Tool?
When a medical provider bills the same 4 procedure codes to 95% of their patients, regardless of age or injury.
What is Template billing/Boilerplate billing?
The primary program to notify members about entity specific fraud?
What is a ForeWarn?
You receive intelligence that several computer chips have been stolen during transport and this could be an emerging trend.
Who is Raun or the Cargo PCORs?
Data submitted by members related to fraud that is not claim specific.
What is NICB Information Submissions or NIS records?
DOUBLE JEOPARDY: This is a dashboard of leads on entities in 2+ QCs as the SOI.
What is QCNet?
When someone gets a policy in their name, but uses a fake DOB and stolen SSN.
What is Identity Fraud or use of a Synthetic ID?
The system where you can research both staged accident NICB case information and QC referrals:
What is IMS?
You would like an predictive algorithm or tool on an NICB data asset.
Who is the Data Science team or Ian?
A dataset containing disciplinary actions taken against entities with NICB assistance.
What are PAAs?
You want approval to provide sensitive data to a Member or Strategic Partner.
What is OGC or OGC Request email?
(When) A stolen vehicle's VIN has been altered to hide its true identity.
What is a VIN Switch?
This NICB initiative employs machine learning algorithms to identify patterns and anomalies in insurance claims.
What is the NICB Data Science program?
DOUBLE JEOPARDY: You have an idea for a Podcast or webinar on a recent report or topic of interest you want to suggest.
What is L&D (Jim B, Susan)?
DOUBLE JEOPARDY: Sensitive data provided by LE including detailed information on stolen vehicles which is only available to NICB employees in ISO.
What is NCIC data?
All NICB named Catastrophe related communication should go here.
What is the CAT-Field Response Channel?
DOUBLE JEOPARDY: When a business claims they have 7 employees to obtain a WC policy when they really have 51 employees.
What is Premium Avoidance/Fraud or Application Misrepresentation?
A new program at NICB focused on a type of insurance outside P&C?
What is the Life/Disability Program?
A non-member carrier requests NICB assistance.
Who is PEMS (membership directors)?
Detailed data from members that include treatment and billing information from medical providers.
What is AMD Data?
(This record is accessed when you) want to find all NICB activity related to a specific vehicle.
What is an NVR?
(When) A service provider says they were authorized by your insurance to start home repairs immediately after a weather event with no deductible.
What is Contractor Fraud?
DOUBLE JEOPARDY: The revenue generating program that identifies stolen vehicles at their location.
What is the LPR program?
A reporter wants information or to set up an interview.
Who is Comms?