Card-issuing fraud analyst must resolve whether to refer to law enforcement

Situation

To refer to law sits with card-issuing fraud analyst because three applications sharing one employer EIN and no payroll hit an ACH originating credit union. Evidence is Medicare upcoding CPT pairing table; write the Fraud Detection Credit and Identity Fraud option that extract can carry.

Decision

Card-issuing fraud analyst in an ACH originating credit union must choose To refer to law enforcement / Keep civil using Medicare upcoding CPT pairing table after three applications sharing one employer EIN and no payroll.

Hypotheses to test

• Medicare upcoding CPT pairing table reads as To refer to law enforcement once three applications sharing one employer EIN and no payroll is lined up to the same Fraud Detection population.
• Medicare upcoding CPT pairing table is closer to Keep civil after three applications sharing one employer EIN and no payroll; To refer to law enforcement would over-claim this Credit and Identity Fraud extract.
• A dual reading is still live in Medicare upcoding CPT pairing table for card-issuing fraud analyst in an ACH originating credit union.
• Medicare upcoding CPT pairing table is missing the fact card-issuing fraud analyst needs after three applications sharing one employer EIN and no payroll; stop this Fraud Detection close.

Analysis required

• Quantify loss if the hold is released before Medicare upcoding CPT pairing table is complete.
• Test a one-off dispute against the first edge of a scheme around to refer to law.
• Check mule or round-trip markers in Medicare upcoding CPT pairing table.
• For this Fraud Detection Credit and Identity Fraud file, read Medicare upcoding CPT pairing table against three applications sharing one employer EIN and no payroll and write the one fact that would move to refer to law for card-issuing fraud analyst.

Recommendation

Choose To refer to law enforcement / Keep civil on this Fraud Detection / Credit and Identity Fraud packet (Medicare upcoding CPT pairing table after three applications sharing one employer EIN and no payroll). The follow-on Credit and Identity Fraud action is what card-issuing fraud analyst does next: implement the option, assign an owner, and log the missing fact.