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    DMIN
    2006
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    A Medical Claim Fraud/Abuse Detection System based on Data Mining: A Case Study in Chile
    13 years 5 months ago
    A Medical Claim Fraud/Abuse Detection System based on Data Mining: A Case Study in Chile
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    This paper describes an effective medical claim fraud/abuse detection system based on data mining used by a Chilean private health insurance company. Fraud and abuse in medical cla...
    Pedro A. Ortega, Cristián J. Figueroa, Gonz...
    claim paper
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