- Article
Methodology for Detecting Suspicious Claims in Health Insurance Using Supervised Machine Learning
- Jose Villegas-Ortega,
- Luis Napoleon Quiroz Aviles,
- Juan Nazario Arancibia,
- Wilder Carpio Montenegro,
- Rosa Delgadillo and
- David Mauricio
Health insurance fraud (HIF) places a substantial economic burden on global health systems. While supervised machine learning (SML) offers a promising solution for its detection, most approaches are ad hoc and lack a systematic methodological framewo...

