In some embodiments, the presence of potential fraud, waste or abuse in a claim may be based at least in part on a determination that conditions or features associated with one or more treatment codes ...
The Fast Company Executive Board is a private, fee-based network of influential leaders, experts, executives, and entrepreneurs who share their insights with our audience. BY Matt Swann The rise of ...
Abstract: Fraud in supply chain operations poses significant risks to businesses, including financial losses, operational inefficiencies, and erosion of stakeholder trust. With the increasing ...
Traditional rule-based systems, once sufficient for detecting simple patterns of fraud, have been overwhelmed by the scale, ...
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AI-Based Insurance Fraud Detection: Hybrid Models Will Help Minimise Losses And Improve Accuracy
In one of the major breakthroughs in the insurance sector, an experiment by a researcher, Chetan Sasidhar Ravi, which was published in the journal ThinkAI by Springer, has come up with complex hybrid ...
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