UGC Approved Journal no 63975(19)

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Published in:

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

UGC and ISSN approved 7.95 impact factor UGC Approved Journal no 63975

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Published Paper ID:
JETIR1612011


Registration ID:
160527

Page Number

86-90

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Title

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

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), ISSN:2349-5162, Vol.3, Issue 12, page no.86-90, December-2016, Available :http://www.jetir.org/papers/JETIR1612011.pdf

ISSN


2349-5162 | Impact Factor 7.95 Calculate by Google Scholar

An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 7.95 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

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
Country: pune, maharashtra, India .
Area: Engineering
ISSN Number: 2349-5162
Publisher: IJ Publication


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