Sequence Mining and Prediction-Based Healthcare Fraud Detection Methodology
This article presents a novel methodology to detect insurance claim related frauds in the healthcare system using concepts of sequence mining and sequence prediction. Fraud detection in healthcare is a non-trivial task due to the heterogeneous nature of healthcare records. Fraudsters behave as norma...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
IEEE
2020-01-01
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| Series: | IEEE Access |
| Subjects: | |
| Online Access: | https://ieeexplore.ieee.org/document/9154698/ |