‏إظهار الرسائل ذات التسميات fraudulent medical. إظهار كافة الرسائل
‏إظهار الرسائل ذات التسميات fraudulent medical. إظهار كافة الرسائل

الأحد، 16 مارس، 2014

system and method for detecting #fraudulent #medical #claims via examination of service codes

system and method for detecting fraudulent medical claims via examination of service codes
US 5253164 A
summary
An expert computer system for processing medical claims. Medical claims and associated representation are inputted into the expert computer system. The inputted claims are interpreted according to specific rules and against a predetermined database to determine whether the medical claims are appropriate.