Fraud Detection in Healthcare Insurance Claims Using Machine Learning

Fraud Detection in Healthcare Insurance Claims Using Machine Learning

Healthcare fraud is intentionally submitting false claims or producing misinterpretation of facts to obtain entitlement payments. Thus, it wastes healthcare financial resources and increases healthcare costs. Subsequently, fraud poses a substantial financial challenge. Therefore, supervised machine...

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Bibliographic Details
Main Authors: Eman Nabrawi, Abdullah Alanazi
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Risks
Subjects:
fraud
insurance claims
artificial neural networks (ANN)
logistic regression (LR)
random forest (RF)
Saudi Arabia
Online Access:https://www.mdpi.com/2227-9091/11/9/160

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https://www.mdpi.com/2227-9091/11/9/160

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