A Hybrid Approach for Detecting Fraudulent Medical Insurance Claims: (Extended Abstract).
Chenfei SunYuliang ShiQingzhong LiLi-zhen CuiHan YuChunyan MiaoPublished in: AAMAS (2016)
Keyphrases
- extended abstract
- health insurance
- fraud detection
- health care
- cost sensitive
- medical diagnosis
- outlier detection
- risk management
- data mining techniques
- x ray
- intrusion detection
- medical databases
- medical data
- automatic detection
- medical information
- medical experts
- umls metathesaurus
- data mining
- medical records
- online auctions
- medical imaging
- proceedings of the th international conference
- social network analysis
- image processing