Código QR (código de barras bidimensional)

Landscape of Machine Learning for Health Insurance Fraud Detection: Global Evidence and Lessons for Indonesia

Fraud in health insurance claims threatens the sustainability of health financing systems and the quality of healthcare services. Conventional detection methods often fail to capture complex, evolving fraud patterns, whereas machine learning (ML) offers adaptive, data-driven solutions capable of an...

ver descrição completa

Na minha lista:
Principais autores: Luluk Fadhoh Sakinah, Putu Gede Purwa Darmawan, Renata Gita Cahyani Sese, Annisa Ristya Rahmanti, Anis Fuad
Formato: Artigo
Idioma:Indonésio
Publicado em: BPJS Kesehatan 2026-06-01
coleção:Jurnal Jaminan Kesehatan Nasional
Assuntos:
Fraud Detection
Machine Learning
Health Insurance
Claims Data
Literature Review
Acesso em linha:https://jurnal-jkn.bpjs-kesehatan.go.id/index.php/jjkn/article/view/444
Tags: Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!

Registros relacionados