Using large language models for enhanced fraud analysis and detection in blockchain based health insurance claims

Abstract Traditional health insurance claim processing systems are plagued by inefficiencies and vulnerabilities, often resulting in significant financial losses due to fraudulent activities. Existing fraud detection methods are largely manual, time-consuming, and inadequate for handling the complex...

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Bibliographic Details
Main Authors: Ruba Islayem, Senay Gebreab, Walaa AlKhader, Ahmad Musamih, Khaled Salah, Raja Jayaraman, Muhammad Khurram Khan
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-15676-4
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