{"id":"https://openalex.org/W3044372716","doi":"https://doi.org/10.1109/sds49854.2020.9143900","title":"Health Care Insurance Fraud Detection Using Blockchain","display_name":"Health Care Insurance Fraud Detection Using Blockchain","publication_year":2020,"publication_date":"2020-04-01","ids":{"openalex":"https://openalex.org/W3044372716","doi":"https://doi.org/10.1109/sds49854.2020.9143900","mag":"3044372716"},"language":"en","primary_location":{"id":"doi:10.1109/sds49854.2020.9143900","is_oa":false,"landing_page_url":"https://doi.org/10.1109/sds49854.2020.9143900","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2020 Seventh International Conference on Software Defined Systems (SDS)","raw_type":"proceedings-article"},"type":"conference-paper","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/A5029849680","display_name":"G\u00f6kay Saldaml\u0131","orcid":"https://orcid.org/0000-0002-9354-3228"},"institutions":[{"id":"https://openalex.org/I51504820","display_name":"San Jose State University","ror":"https://ror.org/04qyvz380","country_code":"US","type":"education","lineage":["https://openalex.org/I51504820"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gokay Saldamli","raw_affiliation_strings":["Computer Engineering Department, San Jose State University, San Jose, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Computer Engineering Department, San Jose State University, San Jose, CA, USA","institution_ids":["https://openalex.org/I51504820"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Vamshi Reddy","orcid":null},"institutions":[{"id":"https://openalex.org/I51504820","display_name":"San Jose State University","ror":"https://ror.org/04qyvz380","country_code":"US","type":"education","lineage":["https://openalex.org/I51504820"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vamshi Reddy","raw_affiliation_strings":["Computer Engineering Department, San Jose State University, San Jose, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Computer Engineering Department, San Jose State University, San Jose, CA, USA","institution_ids":["https://openalex.org/I51504820"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064387189","display_name":"Krishna S. Bojja","orcid":null},"institutions":[{"id":"https://openalex.org/I51504820","display_name":"San Jose State University","ror":"https://ror.org/04qyvz380","country_code":"US","type":"education","lineage":["https://openalex.org/I51504820"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Krishna S. Bojja","raw_affiliation_strings":["Computer Engineering Department, San Jose State University, San Jose, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Computer Engineering Department, San Jose State University, San Jose, CA, USA","institution_ids":["https://openalex.org/I51504820"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029566466","display_name":"Manjunatha K. Gururaja","orcid":null},"institutions":[{"id":"https://openalex.org/I51504820","display_name":"San Jose State University","ror":"https://ror.org/04qyvz380","country_code":"US","type":"education","lineage":["https://openalex.org/I51504820"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Manjunatha K. Gururaja","raw_affiliation_strings":["Computer Engineering Department, San Jose State University, San Jose, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Computer Engineering Department, San Jose State University, San Jose, CA, USA","institution_ids":["https://openalex.org/I51504820"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037667584","display_name":"Yashaswi Doddaveerappa","orcid":null},"institutions":[{"id":"https://openalex.org/I51504820","display_name":"San Jose State University","ror":"https://ror.org/04qyvz380","country_code":"US","type":"education","lineage":["https://openalex.org/I51504820"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yashaswi Doddaveerappa","raw_affiliation_strings":["Computer Engineering Department, San Jose State University, San Jose, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Computer Engineering Department, San Jose State University, San Jose, CA, USA","institution_ids":["https://openalex.org/I51504820"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018011660","display_name":"Lo\u2019ai Tawalbeh","orcid":"https://orcid.org/0000-0002-2294-9829"},"institutions":[{"id":"https://openalex.org/I1335518801","display_name":"Texas A&M University \u2013 San Antonio","ror":"https://ror.org/0084njv03","country_code":"US","type":"education","lineage":["https://openalex.org/I1335518801"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Loai Tawalbeh","raw_affiliation_strings":["Dept. of Computing and Cyber Security, Texas A&M Univ. - San Antonio, San Antonio, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dept. of Computing and Cyber Security, Texas A&M Univ. - San Antonio, San Antonio, TX, USA","institution_ids":["https://openalex.org/I1335518801"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":10.9063,"has_fulltext":false,"cited_by_count":78,"citation_normalized_percentile":{"value":0.98951133,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":100},"biblio":{"volume":null,"issue":null,"first_page":"145","last_page":"152"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10270","display_name":"Blockchain Technology Applications and Security","score":0.9995999932289124,"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"}},"topics":[{"id":"https://openalex.org/T10270","display_name":"Blockchain Technology Applications and Security","score":0.9995999932289124,"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"}},{"id":"https://openalex.org/T13038","display_name":"Internet of Things and AI","score":0.9388999938964844,"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"}},{"id":"https://openalex.org/T14319","display_name":"Currency Recognition and Detection","score":0.9106000065803528,"subfield":{"id":"https://openalex.org/subfields/1707","display_name":"Computer Vision and Pattern Recognition"},"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/business","display_name":"Business","score":0.6920422911643982},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.6509638428688049},{"id":"https://openalex.org/keywords/self-insurance","display_name":"Self-insurance","score":0.5454913973808289},{"id":"https://openalex.org/keywords/actuarial-science","display_name":"Actuarial science","score":0.5258762836456299},{"id":"https://openalex.org/keywords/reinsurance","display_name":"Reinsurance","score":0.5253999829292297},{"id":"https://openalex.org/keywords/order","display_name":"Order (exchange)","score":0.501927375793457},{"id":"https://openalex.org/keywords/group-insurance","display_name":"Group insurance","score":0.49243292212486267},{"id":"https://openalex.org/keywords/service-provider","display_name":"Service provider","score":0.47331297397613525},{"id":"https://openalex.org/keywords/business-interruption-insurance","display_name":"Business interruption insurance","score":0.4337870478630066},{"id":"https://openalex.org/keywords/key-person-insurance","display_name":"Key person insurance","score":0.41642600297927856},{"id":"https://openalex.org/keywords/insurance-policy","display_name":"Insurance policy","score":0.4097152054309845},{"id":"https://openalex.org/keywords/service","display_name":"Service (business)","score":0.39991098642349243},{"id":"https://openalex.org/keywords/general-insurance","display_name":"General insurance","score":0.31102699041366577},{"id":"https://openalex.org/keywords/finance","display_name":"Finance","score":0.29986411333084106},{"id":"https://openalex.org/keywords/income-protection-insurance","display_name":"Income protection insurance","score":0.25538739562034607},{"id":"https://openalex.org/keywords/health-policy","display_name":"Health policy","score":0.23955291509628296},{"id":"https://openalex.org/keywords/marketing","display_name":"Marketing","score":0.1858079433441162},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.1102239191532135}],"concepts":[{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.6920422911643982},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6509638428688049},{"id":"https://openalex.org/C102139631","wikidata":"https://www.wikidata.org/wiki/Q4406896","display_name":"Self-insurance","level":4,"score":0.5454913973808289},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.5258762836456299},{"id":"https://openalex.org/C166970017","wikidata":"https://www.wikidata.org/wiki/Q476118","display_name":"Reinsurance","level":2,"score":0.5253999829292297},{"id":"https://openalex.org/C182306322","wikidata":"https://www.wikidata.org/wiki/Q1779371","display_name":"Order (exchange)","level":2,"score":0.501927375793457},{"id":"https://openalex.org/C4430244","wikidata":"https://www.wikidata.org/wiki/Q5611238","display_name":"Group insurance","level":5,"score":0.49243292212486267},{"id":"https://openalex.org/C116537","wikidata":"https://www.wikidata.org/wiki/Q2169973","display_name":"Service provider","level":3,"score":0.47331297397613525},{"id":"https://openalex.org/C172195485","wikidata":"https://www.wikidata.org/wiki/Q4443488","display_name":"Business interruption insurance","level":5,"score":0.4337870478630066},{"id":"https://openalex.org/C29513703","wikidata":"https://www.wikidata.org/wiki/Q6398174","display_name":"Key person insurance","level":3,"score":0.41642600297927856},{"id":"https://openalex.org/C68799949","wikidata":"https://www.wikidata.org/wiki/Q977871","display_name":"Insurance policy","level":2,"score":0.4097152054309845},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.39991098642349243},{"id":"https://openalex.org/C14293393","wikidata":"https://www.wikidata.org/wiki/Q2663825","display_name":"General insurance","level":3,"score":0.31102699041366577},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.29986411333084106},{"id":"https://openalex.org/C101615574","wikidata":"https://www.wikidata.org/wiki/Q17055997","display_name":"Income protection insurance","level":4,"score":0.25538739562034607},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.23955291509628296},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.1858079433441162},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.1102239191532135},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1109/sds49854.2020.9143900","is_oa":false,"landing_page_url":"https://doi.org/10.1109/sds49854.2020.9143900","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2020 Seventh International Conference on Software Defined Systems (SDS)","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Peace, Justice and strong institutions","id":"https://metadata.un.org/sdg/16","score":0.6399999856948853}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":25,"referenced_works":["https://openalex.org/W1982672081","https://openalex.org/W1985338701","https://openalex.org/W2086319085","https://openalex.org/W2103083061","https://openalex.org/W2185963315","https://openalex.org/W2522448907","https://openalex.org/W2616934625","https://openalex.org/W2626119796","https://openalex.org/W2761040890","https://openalex.org/W2765403912","https://openalex.org/W2784208616","https://openalex.org/W2795144752","https://openalex.org/W2802664165","https://openalex.org/W2805458001","https://openalex.org/W2807979099","https://openalex.org/W2889429201","https://openalex.org/W2903552454","https://openalex.org/W2908430251","https://openalex.org/W2968875751","https://openalex.org/W3023307936","https://openalex.org/W3043035781","https://openalex.org/W3151748982","https://openalex.org/W6675933049","https://openalex.org/W6686334683","https://openalex.org/W6793285265"],"related_works":["https://openalex.org/W2767983557","https://openalex.org/W2736171364","https://openalex.org/W1463558478","https://openalex.org/W2186541868","https://openalex.org/W121432634","https://openalex.org/W2774608878","https://openalex.org/W2144890592","https://openalex.org/W2391837450","https://openalex.org/W2385404931","https://openalex.org/W2360584669"],"abstract_inverted_index":{"The":[0,147],"health":[1,23,43,130,183,224],"care":[2],"industry":[3],"is":[4,67,127,159,187],"one":[5],"of":[6,18,35,59,63,116,163,165],"the":[7,16,19,26,47,60,72,91,96,114,144,172,205],"important":[8],"service":[9,21,32],"providers":[10,66],"that":[11],"improves":[12],"people":[13],"lives.":[14],"As":[15,42,208],"cost":[17],"healthcare":[20,64],"increases,":[22],"insurance":[24,44,65,86,106,131,156,184,198,206,225],"becomes":[25],"only":[27],"way":[28],"to":[29,68,75,78,81,129,135,143,181,189,193],"get":[30],"quality":[31],"in":[33,103,113,119,133],"case":[34],"an":[36,56,111,211],"accident":[37],"or":[38,124],"a":[39,160,191,219],"major":[40],"illness.":[41],"will":[45],"reduces":[46],"costs":[48],"and":[49,52,70,74,83,101,196,215],"provides":[50,210],"financial":[51,161],"economic":[53],"stability":[54],"for":[55,139,223],"individual.":[57],"One":[58],"main":[61],"tasks":[62],"monitor":[69,197],"manage":[71,195],"data":[73,93,97,202,213],"provide":[76],"support":[77],"customers.":[79],"Due":[80],"regulations":[82],"business":[84],"secrecy,":[85],"companies":[87,132],"do":[88],"not":[89,99,102],"share":[90],"patient's":[92],"but":[94],"since":[95],"are":[98],"integrated":[100],"sync":[104],"between":[105],"providers,":[107],"there":[108],"has":[109],"been":[110],"increase":[112],"number":[115],"fraud's":[117],"occurring":[118],"healthcare.":[120],"Often":[121],"times":[122],"ambiguous":[123],"false":[125,141],"information":[126],"provided":[128],"order":[134,180],"make":[136],"them":[137],"pay":[138],"some":[140],"claims":[142],"policy":[145],"holders.":[146],"individual":[148],"policyholder":[149],"may":[150],"also":[151],"claim":[152],"benefits":[153],"from":[154,203],"multiple":[155],"providers.":[157],"There":[158],"loss":[162],"billions":[164],"dollars":[166],"each":[167],"year":[168],"as":[169],"estimated":[170],"by":[171,200],"National":[173],"Health":[174],"Care":[175],"Anti-Fraud":[176],"Association":[177],"(NHCAA).":[178],"In":[179],"prevent":[182],"fraud,":[185],"it":[186],"necessary":[188],"build":[190],"system":[192],"securely":[194],"activities":[199],"integrating":[201],"all":[204],"companies.":[207],"blockchain":[209,220],"immutable":[212],"maintaining":[214],"sharing,":[216],"we":[217],"propose":[218],"based":[221],"solution":[222],"fraud":[226],"detection.":[227]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":13},{"year":2024,"cited_by_count":14},{"year":2023,"cited_by_count":25},{"year":2022,"cited_by_count":15},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":2}],"updated_date":"2026-07-29T14:22:42.915294","created_date":"2025-10-10T00:00:00"}