Cross-Program Fraud Detection - IBR-033

Program Architecture Layer

Integration Layer

Module

Interoperability and Integration

Component

Fraud Detection System

Level of Importance

Optional

Priority

Low

Social Protection Delivery Chain Stage

Manage

Requirement Description

IBR ideally should implement APIs and advanced analytics capabilities 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 API integration and analytical tools.

Use Case

Implement APIs and advanced analytics capabilities 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

  • API: REST API for fraud data exchange.

  • Analytics: Rule-based detection using Python scripts.

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

Standard Technical Specifications

  • API: GraphQL 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

  • API: Federated GraphQL with 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 fraud detection API, 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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