6 results for “Healthcare Insurance”

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Research ArticleOpen accessPhrase in the titleIdentification of Fraud in Accidental and Healthcare Insurance Using Local Outlier Factor: A Machine Learning ApproachJyoti Lele, Vaidehi Deshmukh, Abhinav Chandra, Radhika DesaiAn unsupervised machine learning model that uses the mechanism of the Local Outlier Factor to flag and detect ambiguous as well as potentially fraudulent claims in Accidental and Healthcare insurance is proposed in this paper. It entirely automates the manual investigation of claims by claim appraisers in any organization. The ethos of this model is to comprehensively automate and expedite … …Journal of Computer Science, Vol. 21, Issue 12 · 22 Jan 2026 · 1,575 accessesView PDF Cite

Research ArticleOpen accessIn the keywordsA Multifactor Authentication Framework for the National Health Insurance Scheme in Ghana using Machine LearningIsaac Kofi Nti, Adebayo Felix Adakoya, Owusu Nyarko-BoatengThe creation of the National Health Insurance Scheme (NHIS) in 2005 to replace the traditional “cash and carry” healthcare financial model, was anticipated to offer a safe, reliable, affordable and national coverage healthcare system for the Ghanaian populace. The scheme has recorded several challenges; as a result, policymakers and donor agencies are reconsidering the current NHIS model and are thinking … …American Journal of Engineering and Applied Sciences, Vol. 13, Issue 4 · 29 Oct 2020 · 7,394 accessesView PDF Cite

Research ArticleOpen accessIn the abstractPerceptions of Care, Socio-Demographic Characteristics and Health Care Utilisation among Health Insurance users in GhanaSeth Christopher Yaw AppiahThe socio-demographic characteristics of clients and their perception of quality of care play a major part in people’s decision making process especially in service utilization. This study assesses the relationship between clients’ socio-economic features as well as their perceived quality on health care utilization. The study adopted a non-experimental cross sectional design in eliciting information from health clients who accessed … …Journal of Social Sciences, Vol. 11, Issue 2 · 25 Jun 2015 · 7,622 accessesView PDF Cite

Research ArticleOpen accessIn the abstractTRUSTED CLOUD COMPUTING FRAMEWORK FOR HEALTHCARE SECTORMervat Adib Bamiah, Sarfraz Nawaz Brohi, Suriayati Chuprat, Jamalul-lail Ab MananCloud computing is rapidly evolving due to its efficient characteristics such as cost-effectiveness, availability and elasticity. Healthcare organizations and consumers lose control when they outsource their sensitive data and computing resources to a third party Cloud Service Provider (CSP), which may raise security and privacy concerns related to data loss and misuse appealing threats. Lack of consumers’ knowledge about their … …Journal of Computer Science, Vol. 10, Issue 2 · 13 Nov 2013 · 7,687 accessesView PDF Cite

Research ArticleOpen accessAll words, across the recordPROBING NON-ADHERENCE TO PRESCRIBED MEDICINES? A BIVARIATE DISTRIBUTION WITH INFORMATION NUCLEUS CLARIFIESRamalingam ShanmugamNo illness gets cured without the patient’s adherence to the prescribed medicine (s). Reasons such as too many medicines, lack of health insurance coverage, high co-payment cost, loss of cognitive memory to take. are commonly noticed for non-adherence. In some illnesses, the patients who do not adhere to the prescribed medicines end up again in hospital. How should the pertinent … …Current Research in Medicine, Vol. 5, Issue 2 · 17 Jul 2014 · 7,223 accessesView PDF Cite

Research ArticleOpen accessAll words, across the recordAn Overview of Research Issues in the Modern Healthcare Monitoring System Design using Wireless Body area NetworkD. Suresh, P. AlliProblem statement: Healthcare is recognized various leading edge technologies and new scientific discoveries to enable better cures for diseases and better means to enable early detection of most life threatening diseases. The modern health care focused for optimally reducing the healthcare costs. Approach: The modern healthcare system enables medical professionals to remotely perform real-time monitoring, early diagnosis and treatment for … …American Journal of Applied Sciences, Vol. 9, Issue 1 · 5 Nov 2011 · 7,911 accessesView PDF Cite