Results 181 to 190 of about 215,747 (266)

Designing a national framework for preventing fraud in Iran's health system: a sequential mixed-methods study using qualitative analysis and Delphi consensus. [PDF]

BMJ Open
Vafaee Najar A, Hooshmand E.
europepmc   +1 more source

Fraud detection and explanation in medical claims using GNN architectures. [PDF]

Sci Rep
Muhammad R, Tbaishat D, Nazir A, Yacoub S, AbdulRazek M, El-Enen MAA, Sahlol AT.   +6 more
europepmc   +1 more source

Nigeria needs a publicly accessible medical register. [PDF]

Ann Med Surg (Lond)
Oyedele TJ, Aderinto N.
europepmc   +1 more source

Internet fraud transaction detection based on temporal-aware heterogeneous graph oversampling and attention fusion network. [PDF]

PLoS One
Wei S, Lee S.
europepmc   +1 more source

Using large language models for enhanced fraud analysis and detection in blockchain based health insurance claims. [PDF]

Sci Rep
Islayem R, Gebreab S, AlKhader W, Musamih A, Salah K, Jayaraman R, Khan MK.   +6 more
europepmc   +1 more source

Artificial intelligence applications in health insurances: a scoping review. [PDF]

Cost Eff Resour Alloc
Ramezani-A M, Bakhtiari A, Mobinizadeh M, Daroudi R, Rabiee HR, Olyaeemanesh A, Fazaeli AA, Mostafavi H, Ramezani-B M, Sazgarnejad S, Bordbar S, Takian A.   +11 more
europepmc   +1 more source

The Evolution of Automated Medical Billing With Artificial Intelligence: A Review With a Global and Saudi Perspective. [PDF]

Cureus
Nasser LK.
europepmc   +1 more source

Marine Insurance Fraud

, 2014
openaire   +3 more sources

Expanding risks: Medicaid expansion and data security. [PDF]

PLoS One
Clement J, Greenwood BN, D'Arcy J, Angst C.   +3 more
europepmc   +1 more source

A global scoping review on the patterns of medical fraud and abuse: integrating data-driven detection, prevention, and legal responses. [PDF]

Arch Public Health
Najar AV, Alizamani L, Zarqi M, Hooshmand E.   +3 more
europepmc   +1 more source