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...

पूर्ण विवरण

ग्रंथसूची विवरण

मुख्य लेखकों:	Luluk Fadhoh Sakinah, Putu Gede Purwa Darmawan, Renata Gita Cahyani Sese, Annisa Ristya Rahmanti, Anis Fuad
स्वरूप:	Artigo
भाषा:	Indonésio
प्रकाशित:	BPJS Kesehatan 2026-06-01
श्रृंखला:	Jurnal Jaminan Kesehatan Nasional
विषय:	Fraud Detection Machine Learning Health Insurance Claims Data Literature Review
ऑनलाइन पहुंच:	https://jurnal-jkn.bpjs-kesehatan.go.id/index.php/jjkn/article/view/444
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