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Detecting medical prescriptions suspected of fraud using an unsupervised data mining algorithm

Nowadays, health insurance companies face various types of fraud, like phantom billing, up-coding, and identity theft. Detecting such frauds is thus of vital importance to reduce and eliminate corresponding financial losses. We used an unsupervised data mining algorithm and implemented an outlier de...

詳細記述

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書誌詳細
出版年:Daru
主要な著者: Haddad Soleymani, Mohammad, Yaseri, Mehdi, Farzadfar, Farshad, Mohammadpour, Adel, Sharifi, Farshad, Kabir, Mohammad Javad
フォーマット: Artigo
言語:Inglês
出版事項: Springer International Publishing 2018
主題:
オンライン・アクセス:https://ncbi.nlm.nih.gov/pmc/articles/PMC6279664/
https://ncbi.nlm.nih.gov/pubmed/30460618
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1007/s40199-018-0227-z
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