منابع مشابه
Strategies for detecting fraudulent claims in the automobile insurance industry
Some property and casualty insurers use automated detection systems to help to decide whether or not to investigate claims suspected of fraud. Claim screening systems benefit from the coded experience of previously investigated claims. The embedded detection models typically consist of scoring devices relating fraud indicators to some measure of suspicion of fraud. In practice these scoring mod...
متن کاملDetecting fraudulent whiplash claims by support vector machines
A new method is proposed for detecting fraudulent whiplash claims based on measurements of movement control of the neck. The method is noninvasive and inexpensive. The subjects track a slowly moving object on a computer screen with their head. The deviation between the measured and actual trajectory is quantified and used as input to an ensemble of support vector machine classifiers. The ensemb...
متن کاملRecovering fraudulent claims for Australian federal expenditure on pharmaceuticals and medical devices.
The Australian Federal Government expends increasingly large amounts of money on pharmaceuticals and medical devices. It is likely, given government experience in other jurisdictions, that a significant proportion of this expenditure is paid as a result of fraudulent claims presented by corporations. In the United States, legislation such as the False Claims Act 1986 (US), the Fraud Enforcement...
متن کاملMedical errors involving trainees: a study of closed malpractice claims from 5 insurers.
BACKGROUND Despite wide recognition that the delivery of medical care by trainees involves special risks, information about the types and causes of medical errors involving trainees is limited. To describe the characteristics of and factors contributing to trainee errors, we analyzed malpractice claims in which trainees were judged to have played an important role in harmful errors. METHODS T...
متن کاملUsing Claims Data of German Health Insurers to Monitor Neurodegenerative Disease (ND)
There are several approaches and methods for identifying ND, ranging from the very detailed and deep ascertainment of the pathology in an individual, to a brief and broad standard assessment emphasizing individual functioning (Launer 2011). These measurements not only differ in their validity and reliability, but may also lead to different estimates of the prevalence and incidence of ND. The pu...
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ژورنال
عنوان ژورنال: American Economic Review
سال: 2014
ISSN: 0002-8282
DOI: 10.1257/aer.104.9.2900