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Published in:

Volume 3 Issue 12
December-2016
eISSN: 2349-5162

Unique Identifier

JETIR1612011

Page Number

86-90

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Title

enhancing health care fraud detection system using fuzzy classification and hidden markov model

ISSN

2349-5162

Cite This Article

"enhancing health care fraud detection system using fuzzy classification and hidden markov model", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.3, Issue 12, page no.86-90, December-2016, Available :http://www.jetir.org/papers/JETIR1612011.pdf

Abstract

In health care claims, relationships between doctors and patients could lead to potential fraud discoveries. Many of the health care insurance companies are existed to provide facility to the patients, but all of them are suffer from the headache of fraud insurance claims from the doctors. So as a tiny step towards this the proposed system develops a web application panel for both the doctors and insurance companies to identify the fraud claims of the doctors at insurance company’s end using Hidden markov model which is powered with fuzzy classification. Majority of the methodology are having low performance, parameters which eventually effect health care fraud detection. This paper mainly focusing on different methodologies of health care fraud detection by considering numerous entities.

Key Words

Data mining, Fraud detection, Health care, Clustering, Classification

Cite This Article

"enhancing health care fraud detection system using fuzzy classification and hidden markov model", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.3, Issue 12, page no. pp86-90, December-2016, Available at : http://www.jetir.org/papers/JETIR1612011.pdf

Publication Details

Published Paper ID: JETIR1612011
Registration ID: 160527
Published In: Volume 3 | Issue 12 | Year December-2016
DOI (Digital Object Identifier):
Page No: 86-90
ISSN Number: 2349-5162

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Cite This Article

"enhancing health care fraud detection system using fuzzy classification and hidden markov model", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.3, Issue 12, page no. pp86-90, December-2016, Available at : http://www.jetir.org/papers/JETIR1612011.pdf




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