{"id":"https://openalex.org/W30521656","doi":"https://doi.org/10.1007/978-3-642-40017-9_12","title":"Supervised Learning Methods for Fraud Detection in Healthcare Insurance","display_name":"Supervised Learning Methods for Fraud Detection in Healthcare Insurance","publication_year":2013,"publication_date":"2013-12-09","ids":{"openalex":"https://openalex.org/W30521656","doi":"https://doi.org/10.1007/978-3-642-40017-9_12","mag":"30521656"},"language":"en","primary_location":{"id":"doi:10.1007/978-3-642-40017-9_12","is_oa":false,"landing_page_url":"https://doi.org/10.1007/978-3-642-40017-9_12","pdf_url":null,"source":{"id":"https://openalex.org/S4210212400","display_name":"Intelligent systems reference library","issn_l":"1868-4394","issn":["1868-4394","1868-4408"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"book series"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Intelligent Systems Reference Library","raw_type":"book-chapter"},"type":"book-chapter","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113905303","display_name":"Prerna Dua","orcid":null},"institutions":[{"id":"https://openalex.org/I919208787","display_name":"Louisiana Tech University","ror":"https://ror.org/04q9esz89","country_code":"US","type":"education","lineage":["https://openalex.org/I2799628689","https://openalex.org/I919208787"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Prerna Dua","raw_affiliation_strings":["Department of Health Informatics and Information Management, Louisiana Tech University, Ruston, LA, USA","Department of Health Informatics and Information Management, Louisiana Tech University, Ruston, Louisiana, USA","School of Biological Sciences, Louisiana Tech University, Ruston, LA, USA"],"affiliations":[{"raw_affiliation_string":"Department of Health Informatics and Information Management, Louisiana Tech University, Ruston, LA, USA","institution_ids":["https://openalex.org/I919208787"]},{"raw_affiliation_string":"Department of Health Informatics and Information Management, Louisiana Tech University, Ruston, Louisiana, USA","institution_ids":["https://openalex.org/I919208787"]},{"raw_affiliation_string":"School of Biological Sciences, Louisiana Tech University, Ruston, LA, USA","institution_ids":["https://openalex.org/I919208787"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5055952754","display_name":"Sonali Bais","orcid":null},"institutions":[{"id":"https://openalex.org/I919208787","display_name":"Louisiana Tech University","ror":"https://ror.org/04q9esz89","country_code":"US","type":"education","lineage":["https://openalex.org/I2799628689","https://openalex.org/I919208787"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sonali Bais","raw_affiliation_strings":["Department of Computer Science, Louisiana Tech University, Ruston, LA, USA"],"affiliations":[{"raw_affiliation_string":"Department of Computer Science, Louisiana Tech University, Ruston, LA, USA","institution_ids":["https://openalex.org/I919208787"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5113905303"],"corresponding_institution_ids":["https://openalex.org/I919208787"],"apc_list":null,"apc_paid":null,"fwci":1.0184,"has_fulltext":false,"cited_by_count":37,"citation_normalized_percentile":{"value":0.75412631,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":null,"issue":null,"first_page":"261","last_page":"285"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11652","display_name":"Imbalanced Data Classification Techniques","score":0.9987000226974487,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T11652","display_name":"Imbalanced Data Classification Techniques","score":0.9987000226974487,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11396","display_name":"Artificial Intelligence in Healthcare","score":0.988099992275238,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10538","display_name":"Data Mining Algorithms and Applications","score":0.9284999966621399,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/unavailability","display_name":"Unavailability","score":0.7612810134887695},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.7076537609100342},{"id":"https://openalex.org/keywords/audit","display_name":"Audit","score":0.6511750817298889},{"id":"https://openalex.org/keywords/government","display_name":"Government (linguistics)","score":0.5101016163825989},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.4682014584541321},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.44443291425704956},{"id":"https://openalex.org/keywords/process","display_name":"Process (computing)","score":0.4388805627822876},{"id":"https://openalex.org/keywords/healthcare-industry","display_name":"Healthcare industry","score":0.4136432409286499},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.36701613664627075},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.14404240250587463},{"id":"https://openalex.org/keywords/accounting","display_name":"Accounting","score":0.10631012916564941}],"concepts":[{"id":"https://openalex.org/C2780505938","wikidata":"https://www.wikidata.org/wiki/Q17093282","display_name":"Unavailability","level":2,"score":0.7612810134887695},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.7076537609100342},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.6511750817298889},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5101016163825989},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4682014584541321},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.44443291425704956},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.4388805627822876},{"id":"https://openalex.org/C2989086416","wikidata":"https://www.wikidata.org/wiki/Q15067276","display_name":"Healthcare industry","level":3,"score":0.4136432409286499},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.36701613664627075},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.14404240250587463},{"id":"https://openalex.org/C121955636","wikidata":"https://www.wikidata.org/wiki/Q4116214","display_name":"Accounting","level":1,"score":0.10631012916564941},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C200601418","wikidata":"https://www.wikidata.org/wiki/Q2193887","display_name":"Reliability engineering","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1007/978-3-642-40017-9_12","is_oa":false,"landing_page_url":"https://doi.org/10.1007/978-3-642-40017-9_12","pdf_url":null,"source":{"id":"https://openalex.org/S4210212400","display_name":"Intelligent systems reference library","issn_l":"1868-4394","issn":["1868-4394","1868-4408"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"book series"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Intelligent Systems Reference Library","raw_type":"book-chapter"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Peace, Justice and strong institutions","score":0.7200000286102295,"id":"https://metadata.un.org/sdg/16"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":32,"referenced_works":["https://openalex.org/W110750246","https://openalex.org/W136128345","https://openalex.org/W229266235","https://openalex.org/W1488945453","https://openalex.org/W1564873532","https://openalex.org/W1578224087","https://openalex.org/W1598952354","https://openalex.org/W1673075472","https://openalex.org/W1974181222","https://openalex.org/W2009167374","https://openalex.org/W2018694640","https://openalex.org/W2020203937","https://openalex.org/W2071738870","https://openalex.org/W2071855775","https://openalex.org/W2118615833","https://openalex.org/W2119305488","https://openalex.org/W2121394390","https://openalex.org/W2122410182","https://openalex.org/W2133841540","https://openalex.org/W2142499192","https://openalex.org/W2147826622","https://openalex.org/W2151794252","https://openalex.org/W2161775914","https://openalex.org/W2302382203","https://openalex.org/W2509254371","https://openalex.org/W2549975402","https://openalex.org/W2912889105","https://openalex.org/W2970932189","https://openalex.org/W4206209869","https://openalex.org/W4237787038","https://openalex.org/W4242807147","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W4292218619","https://openalex.org/W2229667228","https://openalex.org/W3201609874","https://openalex.org/W4388379723","https://openalex.org/W4228999760","https://openalex.org/W2889960072","https://openalex.org/W2403355020","https://openalex.org/W4385782821","https://openalex.org/W2794914551","https://openalex.org/W2979051924"],"abstract_inverted_index":null,"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":7},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":7},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":1}],"updated_date":"2025-11-06T03:46:38.306776","created_date":"2025-10-10T00:00:00"}