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DMIN
2006
106views Data Mining» more  DMIN 2006»
A Medical Claim Fraud/Abuse Detection System based on Data Mining: A Case Study in Chile
12 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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