Abstract
Insurance fraud is one of the most serious problem that insurers, consumers and regulators witnessed in the last couple of years affecting availability of insurances. Increase in the cost of the companies, inflated premium is caused by the number of frauds in the medical insurance sector threatening the viability of the insurance companies and also an adverse effect on the profit they incur. Forged documents submitted for claim settlement gets verified due to limited resource availability. Enabling TLS-N in the conversation between the insurance company, policy holder and medical institution curtail life insurance frauds. Data privacy must be given utmost importance while we handle medical insurance scenarios, TLS-N with privacy preserving data publishing schemes facilitates privacy and mitigates content hiding attack. These records stored in blockchain keeps track of the policy details, the medical reports and insurance claims over the period of validity, helps detecting fraud in the insurance claim.
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Mohan, T., Praveen, K. (2019). Fraud Detection in Medical Insurance Claim with Privacy Preserving Data Publishing in TLS-N Using Blockchain. In: Singh, M., Gupta, P., Tyagi, V., Flusser, J., Ören, T., Kashyap, R. (eds) Advances in Computing and Data Sciences. ICACDS 2019. Communications in Computer and Information Science, vol 1045. Springer, Singapore. https://doi.org/10.1007/978-981-13-9939-8_19
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DOI: https://doi.org/10.1007/978-981-13-9939-8_19
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