Cost-Sensitive Learning for Medical Insurance Fraud Detection With Temporal Information
Author:
Affiliation:
1. Department of Statistics and Actuarial Science, Simon Fraser University, Burnaby, BC, Canada
2. School of Computing Science, Simon Fraser University, Burnaby, BC, Canada
Funder
Natural Sciences and Engineering Research Council of Canada
Publisher
Institute of Electrical and Electronics Engineers (IEEE)
Subject
Computational Theory and Mathematics,Computer Science Applications,Information Systems
Link
http://xplorestaging.ieee.org/ielx7/69/10251471/10029910.pdf?arnumber=10029910
Reference30 articles.
1. Graph analytics for healthcare fraud risk estimation
2. Knowledge discovery from massive healthcare claims data
3. Detection of fraudulent claims using hierarchical cluster analysis;khurjekar;Proc IIE Annu Conf Inst Ind Syst Engineers,2015
4. Healthcare fraud detection: A survey and a clustering model incorporating geo-location information;liu;Proc 29th World Continuous Auditing Reporting Symp,2013
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