A Review of Fraudulent Practices in Healthcare Insurance and Machine Learning-Based Investigation Approaches

A Salau, NA Nnanna, MM Boukar - 2023 14th International …, 2023 - ieeexplore.ieee.org
Healthcare insurance fraud is a complex and costly problem that has become a concern
globally. Traditional methods of detecting fraudulent claims and requests are time …

Advancing Preauthorization Task in Healthcare: An Application of Deep Active Incremental Learning for Medical Text Classification

A Salau, NA Nwojo, MM Boukar, O Usen - Engineering, Technology & …, 2023 - etasr.com
This study presents a novel approach to medical text classification using a deep active
incremental learning model, aiming to improve the automation of the preauthorization …

Advancements and challenges of using natural language processing in the healthcare sector

S Kamineni, M Tummala, SY Kandimalla… - Theoretical …, 2024 - degruyter.com
Due to the exponential increase in population, the healthcare sector is also booming. The
data generated from the healthcare sector is too huge nowadays, and processing all of it …

NLP applications—clinical documents

Y Wang - Natural Language Processing in Biomedicine: A …, 2024 - Springer
This chapter examines the advancement of digitalization in healthcare, focusing on the
critical role of natural language processing (NLP) in extracting valuable insights from clinical …

Intelligent authorization system

A Hampapur, S Hegde, S Pankanti, R Shree… - US Patent …, 2024 - Google Patents
A system and method to authorize requests for procedures or medical claim requests is
described. In one aspect, datasets from multiple data sources, including historical …