Monitor and review flagged claims for potential fraud
Total Open
{{ $totalOpen }}
High Severity
{{ $highSeverity }}
Critical
{{ $critical }}
| Claim # | Member | Provider | Alert Type | Severity | Status | Created | Actions |
|---|---|---|---|---|---|---|---|
| {{ $alert->claim?->claim_number ?? 'N/A' }} | {{ $alert->claim?->member?->first_name ?? '' }} {{ $alert->claim?->member?->last_name ?? '' }} | {{ $alert->claim?->provider?->name ?? 'N/A' }} | @php $typeLabels = [ 'duplicate_claim' => 'Duplicate Claim', 'same_day_multi_provider' => 'Multi-Provider', 'exceeding_tariff' => 'Exceeding Tariff', 'high_frequency' => 'High Frequency', ]; @endphp {{ $typeLabels[$alert->alert_type] ?? ucfirst(str_replace('_', ' ', $alert->alert_type)) }} | @php $severityColors = [ 'low' => 'bg-blue-100 text-blue-700', 'medium' => 'bg-yellow-100 text-yellow-700', 'high' => 'bg-orange-100 text-orange-700', 'critical' => 'bg-red-100 text-red-700', ]; @endphp {{ ucfirst($alert->severity) }} | @php $statusColors = [ 'open' => 'bg-yellow-100 text-yellow-700', 'investigating' => 'bg-blue-100 text-blue-700', 'dismissed' => 'bg-gray-100 text-gray-700', 'confirmed' => 'bg-red-100 text-red-700', ]; @endphp {{ ucfirst($alert->status) }} | {{ $alert->created_at->format('d M Y') }} | |
| No fraud alerts found. | |||||||