• SISTU VIJAY KUMAR
• GUDIWAKA VIJAYALAKSHMI

Clinical consideration is a crucial in social classes lives and it ought to be sensible. The clinical consideration industry is a complicated system with different moving parts. It is stretching out at a rapid speed. At the same time, deception in this industry is changing into a fundamental issue. One of the issues is the maltreatment of the clinical insurance structures. Manual acknowledgment of cheats in the clinical benefits industry is a debilitating work. Lately, AI and data burrowing strategies are used for normally recognizing the clinical benefits swindles. In this paper, we try to give an overview on cheats in clinical benefits industry and the methods for perceiving such fakes. With a complement on the techniques used, choosing the gigantic sources and the features of the clinical benefits data, diverse open investigates were considered in the composing work. From this overview it might be contemplated that the general AI strategies and from almost immediately got wellsprings of the clinical consideration data would be approaching subjects important to make the clinical consideration sensible, to chip away at the reasonability of clinical benefits coercion disclosure and to introduce top quality on clinical consideration systems. Various new explores, as minded in this paper, use AI and data mining to recognize distortion in clinical consideration industry. There is a need additional investigation work to choose particular weird instances of maltreatment of medical care structures and more current AI methods can be used to additionally foster outcomes.

Clinical Consideration, Artificial Intelligence, Machine Learning, Data Analysis

"EVALUATION OF HOSPITALS QUALITY USING ML AND DATA ANALYSIS", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.10, Issue 6, page no.h673-h682, June-2023, Available :http://www.jetir.org/papers/JETIR2306788.pdf

"EVALUATION OF HOSPITALS QUALITY USING ML AND DATA ANALYSIS", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.10, Issue 6, page no. pph673-h682, June-2023, Available at : http://www.jetir.org/papers/JETIR2306788.pdf