Dashboard Para La Identificación De Los Posibles Intentos De Fraude De Las Prestadoras De Servicio Asociadas A Las Entidades Aseguradoras
Fraud currently negatively affects health insurance companies, for this reason an early detection must be made by auditors, and based on the findings, decisions must be made to improve the detection of fraudulent cases. But this activity every day generates greater challenges in the audit area as mo...
- Autores:
-
Alfaro Prieto, Carlos Alberto
- Tipo de recurso:
- Trabajo de grado de pregrado
- Fecha de publicación:
- 2023
- Institución:
- Universidad Antonio Nariño
- Repositorio:
- Repositorio UAN
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.uan.edu.co:123456789/8204
- Acceso en línea:
- http://repositorio.uan.edu.co/handle/123456789/8204
- Palabra clave:
- Dashboard
detección de fraude
prestadoras de servicios
aseguradora
análisis de datos
658
168.23 A385d
Dashboard
fraud detection
service providers
insurer
data analysis
- Rights
- openAccess
- License
- Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
| Summary: | Fraud currently negatively affects health insurance companies, for this reason an early detection must be made by auditors, and based on the findings, decisions must be made to improve the detection of fraudulent cases. But this activity every day generates greater challenges in the audit area as more and more cases of fraud to be reviewed which can be from fraudulent billing and coding, falsification of documents, submission of fraudulent claims and misuse of the patient's identity This project provides an automated tool to detect and prevent fraud in healthcare services. |
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