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Cross-Program Fraud Detection - IBR-033

Cross-Program Fraud Detection - IBR-033

Program Architecture Layer

Integration Layer

Capability Area

Integration and Interoperability

Component

Fraud Detection System

Level of Importance

Optional

Priority

Low

Social Protection Delivery Chain Stage

Manage

Requirement Description

IBR ideally should implement a Cross-Program Fraud Detection capability with advanced analytics to identify potential fraud or errors across multiple social protection programs, using real-time data exchange to prevent duplicate or fraudulent claims.

Justification

Enhances program integrity and prevents improper benefit allocation by leveraging both integrated data access and analytical tools.

Use Case

Implement a Cross-Program Fraud Detection capability with advanced analytics to identify potential fraud or errors across multiple social protection programs.

Data Elements Required

Beneficiary ID, Fraud Detection Data, Program Participation Data

Minimum Technical Specifications

  • Interface: REST API as an example interface for fraud data exchange.

  • Analytics: Rule-based detection using Python scripts.

  • Data Sharing: Batch processing for fraud alerts across programs.

Standard Technical Specifications

  • Interface: GraphQL as an example interface for real-time fraud detection data sharing.

  • Analytics: Machine Learning-based anomaly detection to identify potential fraud.

  • Data Sharing: Real-time alerts using Apache Kafka.

Advanced Technical Specifications

  • Interface: Federated GraphQL as an example interface for real-time AI-driven fraud detection.

  • Analytics: Deep Learning for pattern recognition across programs.

  • Data Sharing: Streaming analytics with Apache Pulsar and AI-driven proactive alerts.

Security & Privacy Requirements

Secure interface access for fraud data, encryption for fraud data sharing.

Scalability Considerations

Machine learning-based fraud detection for scalability.

Interoperability Requirements

Integration with multiple program data sources for fraud detection.

Compliance with International Standards

Compliance with GDPR for fraud detection data sharing.

User Interface Requirements

N/A

 

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