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More articles from Volume 6, Issue 2, 2023
Blockchain Technology Predictions 2024: Transformations in Healthcare, Patient Identity and Public Health
Problems with Medical Claims that Artificial Intelligence (AI) and Blockchain Can Fix
Accelerating the Worldwide Adoption of Blockchain Technology
Moving Beyond POCs and Pilots to Mainstream: Discovery and Lessons from Blockchain in Healthcare
Privacy-Conflict Resolution for Integrating Personal- and Electronic Health Records in Blockchain-Based Systems
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Problems with Medical Claims that Artificial Intelligence (AI) and Blockchain Can Fix

In medical insurance, there are both valid and legitimate claims that should be covered by the insurer and fraudulent or inappropriate claims that should not be paid. Problems arise in scenarios when valid claims are not paid and when fraudulent or inappropriate claims are paid. Hospitals and insurers play critical roles in these cases. Artificial Intelligence (AI) and blockchain technologies can play significant roles in addressing the problems associated with medical insurance claims. Some of the ways in which these technologies can help are using AI algorithms to analyze data stored on the blockchain for fraud detection, and leveraging blockchain's transparency to improve the accuracy of AI models by providing access to a larger dataset. The author addresses approaches for each senario.
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