A guide for the utilization of Health Insurance Review and Assessment Service National Patient Samples [PDF]
Epidemiology and Health, 2014 The claims data of the Health Insurance Review and Assessment Service (HIRA) is an important source of information for healthcare service research.
Logyoung Kim, Jee-Ae Kim, Sanghyun Kim
doaj +2 more sources
A Privacy-Preserving Approach to Health Insurance Fraud Detection Using Vertical Federated Learning [PDF]
SensorsIn fraud detection, centralized approaches often face challenges related to data protection, security, and potential data breaches. Such methods require sensitive healthcare and insurance data to be pooled in one location, which increases vulnerability ...
Raghi K R +3 more
doaj +2 more sources
PLoS ONE, 2018 Epidemiologic data regarding pulmonary arterial hypertension (PAH) have relied on registries from Western countries. We assessed the current status of PAH in the Korean population. The Health Insurance Review and Assessment Service (HIRA) claim database,
Shinjeong Song +6 more
doaj +2 more sources
Validation of Diagnostic Code Definitions for Identifying Patient in Korean Health Insurance Claims Data: A Scoping Review. [PDF]
J Korean Med SciHealth administrative data are widely used in health services research, but diagnostic codes may be subject to misclassification. This scoping review examined the validity and reporting practices of operational definitions using the Korean National Health Insurance Claim Database (KHICD), focusing on compliance with the REporting of studies Conducted ...
Kim KH.
europepmc +4 more sources
COVID-19 International Collaborative Research by the Health Insurance Review and Assessment Service Using Its Nationwide Real-world Data: Database, Outcomes, and Implications [PDF]
Journal of Preventive Medicine and Public Health, 2021 This article aims to introduce the inception and operation of the COVID-19 International Collaborative Research Project, the world’s first coronavirus disease 2019 (COVID-19) open data project for research, along with its dataset and research method, and
Yeunsook Rho +8 more
doaj +1 more source
Survey on Insurance Claim analysis using Natural Language Processing and Machine Learning
International Journal on Recent and Innovation Trends in Computing and Communication, 2023 In the insurance industry nowadays, data is carrying the major asset and playing a key role. There is a wealth of information available to insurance transporters nowadays.
Et al. Sapana Kolambe
semanticscholar +1 more source
Journal of Epidemiology, 2023 Background: To provide a better healthcare system for patients with mitochondrial diseases, it is important to understand the basic epidemiology of these conditions, including the number of patients affected.
Koki Ibayashi +5 more
doaj +1 more source
Motor Insurance Claim Status Prediction using Machine Learning Techniques
International Journal of Advanced Computer Science and Applications, 2021 The insurance claim is a basic problem in insurance companies. Insurance insurers always have a challenge to the growing of insurance claim loss. Because there is the occurrence of claim fraud and the volume of claim data increases in the insurance ...
Endalew Alamir +3 more
semanticscholar +1 more source
Studies of Health Insurance Claims Data in Japan: A Scoping Review
JMA Journal, 2023 Health insurance claims data are used in various research fields; however, an overview on how they are used in healthcare research is scarce in Japan. Therefore, we conducted a scoping review to systematically map the relevant studies using Japanese claims data.MEDLINE, EMBASE, and Ichushi-Web were searched up to April 2021 for studies using Japanese ...
Suto, Maiko +20 more
openaire +2 more sources
Critical Performance Analysis of The Health Insurance Sector In India During Covid-19 Outbreak
Asia Pacific Journal of Health Management, 2022 Introduction: Health insurance is one of the main non-life insurance sectors, which contributes nearly 29% of general insurance premium income. Almost every industry in the world has been affected by the COVID-19 outbreak and its associated lockdowns ...
Babita Yadav +3 more
doaj +1 more source