Specifications include, but are not limited to: provide an analytics engine that will: Review all FFS claims and MCO encounters submitted to the Department Utilize statistically-sound, empirically-derived analytics techniques designed to identify high-risk and suspect providers and prevent improper payments; Utilize integrated transaction risk scoring to identify providers that have unusual billing practices or demonstrate signs of potential fraud, waste or abuse; Build algorithms to identify claims that violate policies and should be denied based on information contained within the claim data. Contractor is expected to be able to review federal and state policy documentation (manuals, provider policy memos, etc.) and interpret them to create algorithms with limited support from the Department.