arXivDaily arXiv每日学术速递 周一至周五更新
arXiv 2308.04469cs.LGcs.AI
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通过深度学习神经网络关联医疗保险理赔服务

Correlating Medi-Claim Service by Deep Learning Neural Networks

Vellore Institute of Technology(韦洛尔理工学院);Valliammal Eng College, SRM(SRM 瓦利亚马尔工程学院)

Jayanthi Vajiram, Negha Senthil, Nean Adhith. P

AI总结:

针对医疗保险理赔中的有组织欺诈与洗钱问题,本文采用卷积神经网络结合回归模型相关性研究,并使用监督与无监督分类器识别欺诈及非欺诈理赔。

摘要:

医疗保险理赔涉及与患者、医生、诊断中心和保险提供商相关的有组织犯罪,形成必须持续监控的连锁反应。此类欺诈会影响被保险人和健康保险公司的财务增长。卷积神经网络架构被用于通过回归模型的相关性研究来检测欺诈性理赔,这有助于检测不同提供商给出的不同理赔中的洗钱行为。监督和无监督分类器被用于检测欺诈和非欺诈理赔。

英文摘要:

Medical insurance claims are of organized crimes related to patients, physicians, diagnostic centers, and insurance providers, forming a chain reaction that must be monitored constantly. These kinds of frauds affect the financial growth of both insured people and health insurance companies. The Convolution Neural Network architecture is used to detect fraudulent claims through a correlation study of regression models, which helps to detect money laundering on different claims given by different providers. Supervised and unsupervised classifiers are used to detect fraud and non-fraud claims.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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