Health insurance fraud detection by using an attributed heterogeneous information network with a hierarchical attention mechanism.

Lu, Jiangtao; Lin, Kaibiao; Chen, Ruicong; Lin, Min; Chen, Xin; Lu, Ping

Lu, Jiangtao; Lin, Kaibiao; Chen, Ruicong; Lin, Min; Chen, Xin; Lu, Ping.

Afiliação

Lu J; School of Computer and Information Engineering, Xiamen University of Technology, Xiamen, 361024, China.
Lin K; School of Computer and Information Engineering, Xiamen University of Technology, Xiamen, 361024, China. 2010110706@t.xmut.edu.cn.
Chen R; School of Computer and Information Engineering, Xiamen University of Technology, Xiamen, 361024, China.
Lin M; School of Electromechanical and Information Engineering, Putian University, Putian, 351100, China.
Chen X; School of Computer and Information Engineering, Xiamen University of Technology, Xiamen, 361024, China.
Lu P; School of Economic and Management, Xiamen University of Technology, Xiamen, 361024, China.

BMC Med Inform Decis Mak ; 23(1): 62, 2023 04 06.

Article em En | MEDLINE | ID: mdl-37024897

Assuntos

Fraude; Seguro Saúde; Humanos; Atenção à Saúde; Pacientes

Palavras-chave

Fraud detection; Graph neural network; Health insurance; Heterogeneous graph

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraude / Seguro Saúde Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

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