Blockchain-based health insurance claim processing and management system

Abstract

The current healthcare insurance claim requires more procedures to be claimed from an insurance company. Healthcare insurance companies are crucial for patient financial assistance, but efficient claim processing can lead to lower the levels of care. Patients have already claimed insurance in certain locations and are attempting to claim it again in another location. This work proposes to increase claim speed, avoid fraudulent claims, and provide privacy for patient data on decentralized storage through permissioned blockchain. To ensure patient data privacy and assist insurance agents and individuals in verifying eligibility and claim status, hash values are used to store data in a block. Every claim’s information is stored in a block. If the patient attempts to claim again, the agent will validate the block and have the option to accept or reject the request. The integrity, speed, and security of patient health information can be achieved through this technique.