'All walks of life':a profile of household insurance fraudsters in the United Kingdom [PDF]
, 2016 Blackbourn, Dean +2 more
core +1 more source
What goals does China's medical insurance fund supervision aim to achieve? A quantitative analysis based on national-level policies. [PDF]
BMC Health Serv ResXu J +7 more
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Brokering a new path: navigating administrative burdens in the health insurance Marketplaces. [PDF]
Health Aff SchMulligan JM, Anderson DM, Drake C.
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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 OpenVafaee Najar A, Hooshmand E.
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Synthetic health insurance claim fakes: AI-generated injury videos inflate claims and burden chronic disease patients. [PDF]
Ann Med Surg (Lond)Nisa NU +4 more
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Fraud detection and explanation in medical claims using GNN architectures. [PDF]
Sci RepMuhammad R +6 more
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Can Machine Learning Target Health Care Fraud? Evidence from Medicare Hospitalizations. [PDF]
J Policy Anal ManageShekhar S, Leder-Luis J, Akoglu L.
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Internet fraud transaction detection based on temporal-aware heterogeneous graph oversampling and attention fusion network. [PDF]
PLoS OneWei S, Lee S.
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Nigeria needs a publicly accessible medical register. [PDF]
Ann Med Surg (Lond)Oyedele TJ, Aderinto N.
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Using large language models for enhanced fraud analysis and detection in blockchain based health insurance claims. [PDF]
Sci RepIslayem R +6 more
europepmc +1 more source