Patient Cluster Divergence Based Healthcare Insurance Fraudster Detection.
Chenfei SunQingzhong LiHui LiYuliang ShiShidong ZhangWei GuoPublished in: IEEE Access (2019)
Keyphrases
- fraud detection
- electronic health records
- clinical trials
- clustering algorithm
- medical care
- automatic detection
- information technology
- patient data
- object detection
- detection algorithm
- false positives
- outlier detection
- hierarchical clustering
- decision support system
- data points
- information systems
- health insurance
- health care providers
- medical practitioners
- social networks
- clinical decision support
- data clustering
- detection rate
- cluster analysis
- health care