scholarly journals Fraud Detection in Healthcare System using Symbolic Data Analysis

Author(s):  
Sahana Munavalli ◽  
◽  
Sanjeevakumar M. Hatture ◽  

In the era of digitization the frauds are found in all categories of health insurance. It is finished next to deliberate trickiness or distortion for acquiring some pitiful advantage in the form of health expenditures. Bigdata analysis can be utilized to recognize fraud in large sets of insurance claim data. In light of a couple of cases that are known or suspected to be false, the anomaly detection technique computes the closeness of each record to be fake by investigating the previous insurance claims. The investigators would then be able to have a nearer examination for the cases that have been set apart by data mining programming. One of the issues is the abuse of the medical insurance systems. Manual detection of frauds in the healthcare industry is strenuous work. Fraud and Abuse in the Health care system have become a significant concern and that too inside health insurance organizations, from the most recent couple of years because of the expanding misfortunes in incomes, handling medical claims have become a debilitating manual assignment, which is done by a couple of clinical specialists who have the duty of endorsing, adjusting, or dismissing the appropriations mentioned inside a restricted period from their gathering. Standard data mining techniques at this point do not sufficiently address the intricacy of the world. In this way, utilizing Symbolic Data Analysis is another sort of data analysis that permits us to address the intricacy of the real world and to recognize misrepresentation in the dataset.

2014 ◽  
Vol 3 (1) ◽  
pp. 1-9
Author(s):  
Sandra Elizabeth González Císaro ◽  
Héctor Oscar Nigro

Standard data mining techniques no longer adequately represent the complexity of the world. So, a new paradigm is necessary. Symbolic Data Analysis is a new type of data analysis that allows us to represent the complexity of reality, maintaining the internal variation and structure developed by Diday (2003). This new paradigm is based on the concept of symbolic object, which is a mathematical model of a concept. In this article the authors are going to present the fundamentals of the symbolic data analysis paradigm and the symbolic object concept. Theoretical aspects and examples allow the authors to understand the SDA paradigm as a tool for mining complex data.


Author(s):  
Edwin Diday ◽  
M. Narasimha Murthy

In data mining, we generate class/cluster models from large datasets. Symbolic Data Analysis (SDA) is a powerful tool that permits dealing with complex data (Diday, 1988) where a combination of variables and logical and hierarchical relationships among them are used. Such a view permits us to deal with data at a conceptual level, and as a consequence, SDA is ideally suited for data mining. Symbolic data have their own internal structure that necessitates the need for new techniques that generally differ from the ones used on conventional data (Billard & Diday, 2003). Clustering generates abstractions that can be used in a variety of decision-making applications (Jain, Murty, & Flynn, 1999). In this article, we deal with the application of clustering to SDA.


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