Healthcare billing fraud detection system
Alaina Rahim, D B Anitha, P Vinod Kumar, M Aishwarya · 2025
The rising costs of healthcare are unfortunately coupled with a significant concern: fraudulent billing. This research introduces a groundbreaking approach to tackling this issue. The system is striving to create a secure and reliable healthcare billing platform by harnessing the strength of biometrics and Aadhaar integration. Patients will be identified securely through biometric authentication, like fingerprint recognition using uploaded photographs. Moreover, the system is integrated with Aadhaar, India&s;s national identity system, enabling users to retrieve important medical history and insurance details. This combination method allows the system to evaluate revenue and insurance information along with reported procedures. It helps to uncover possible red flags and discrepancies that could indicate fraudulent behavior. This innovative solution enhances the security of healthcare billing by verifying patient identity and granting access to essential data points for efficient fraud detection.