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Feature NameFeature DescriptionPresent in
Actual dataset?
LogicReason behind adding new featureNote
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Bene IDIt contains the unique id of the beneficiary.YN/AN/AN/A
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DOBIt contains the date of birth of the beneficiary.YN/AN/AN/A
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DODIt contains the date of death of the beneficiary.YN/AN/AN/A
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GenderIt represents the gender of the beneficiary.YN/AN/AN/A
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RaceIt represents the human race of the beneficiary.YN/AN/AN/A
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StateIt represents state code in which a beneficiary lives or belongs to.YN/AN/AN/A
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CountryIt represents country code in which a beneficiary lives or belongs to.YN/AN/AN/A
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Renal Disease IndicatorIt represents a code which indicates whether a beneficiary had a long history of kidney disease at the time of buying a plan.YN/AN/AN/A
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Chronic Condition Indicators *
1,2,3,4,5,6,7,8,9,10,11
It represents a code which indicates whether a beneficiary had a chronic condition of a specific disease at the time of buying a plan.YN/AN/AN/A
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NoOfMonths_PartACovIt represents number of months of part-A coverage.YN/AN/A
Dropped

Because it doesn't have any variability.
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NoOfMonths_PartBCovIt represents number of months of part-B coverage.YN/AN/A
Dropped

Because it doesn't have any variability.

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IPAnnualReimbursementAmtIt consists of the maximum reimbursement amount allocated to a beneficiary for annual hospitalization on the basis of insurance plan.YN/AN/AN/A
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IPAnnualDeductibleAmtIt consists of the maximum co-payment to be bourne by a beneficiary annualy if in case gets hospitalized.YN/AN/AN/A
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OPAnnualReimbursementAmtIt consists of the maximum reimbursement amount allocated to a beneficiary for annual non-hospitalization on the basis of insurance plan.YN/AN/AN/A
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OPAnnualDeductibleAmtIt consists of the maximum co-payment to be bourne by a beneficiary annualy if in case only visited a hospital without admission.YN/AN/AN/A
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Bene_AgeAge of a beneficiary.N(DOD - DOB) / 365
To check whether BENE Age has some influence on the fraudulent cases?
Added
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Age_GroupsAge group to which a beneficiary belongs.N-
To check whether a particular BENE Age Group has some influence on the fraudulent cases?
Dropped

Initially, I added this feature but, later on found it to be providing similar information like PRV_Bene_Age_Sum. Thus, dropped it.
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PRV_Tot_Unq_DOB_YearsYear of birth of a beneficiary.NYear of DOBThe idea behind adding this feature is that if a provider has very high variability in the year of birth of patients then that might be one of the signs of medicare frauds.
Added


What didn't worked?
The raw DOB Year feature doesn't have much variability, thus added the above mentioned feature.

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N/AMonth of birth of a beneficiary.NMonth of DOBTo check whether BENE Month of birth has some influence on the fraudulent cases?
Not added

What didn't worked?
This feature doesn't have any variation.
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N/AYear of death of a beneficiary.NYear of DODTo check whether BENE Year of death has some influence on the fraudulent cases?
Not added

What didn't worked?
This feature doesn't have any variation.
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N/AMonth of death of a beneficiary.NMonth of DODTo check whether BENE Month of death has some influence on the fraudulent cases?
Not added

What didn't worked?
This feature doesn't have any variation.
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Is_Alive?Whether a beneficiary is alive or not?N0 if DOD is not null else 1
To check whether BENE Life Status has some influence on the fraudulent cases?
Added
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PRV_Bene_Age_SumSum of patients age treated by a ProviderN-
The idea behind adding this feature is that there might be a pattern like if the sum of patients age treated by a provider is very high or low then it might influence the fraud.
Added
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