Nabrawi, Eman; Alanazi, Abdullah - In: Risks : open access journal 11 (2023) 9, pp. 1-14
regression, and artificial neural networks are successfully used to detect healthcare insurance fraud. This study aims to develop … a health model that automatically detects fraud from health insurance claims in Saudi Arabia. The model indicates the …Healthcare fraud is intentionally submitting false claims or producing misinterpretation of facts to obtain entitlement …