AIMC Topic: Fraud

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Fraud detection and explanation in medical claims using GNN architectures.

Scientific reports
This paper addresses the critical challenge of fraud detection in medical insurance claims-a pervasive issue causing significant financial losses in healthcare-using Graph Neural Networks (GNNs). Given the intricate nature of healthcare data, traditi...

Increasing Rigor in Online Health Surveys Through the Reduction of Fraudulent Data.

Journal of medical Internet research
Online surveys have become a key tool of modern health research, offering a fast, cost-effective, and convenient means of data collection. It enables researchers to access diverse populations, such as those underrepresented in traditional studies, an...

Multimodal anti fraud education improves cognitive emotional and behavioral engagement in older adults.

Scientific reports
This study examines the differential effectiveness of video-based versus text-based anti-fraud educational interventions in improving cognitive comprehension, emotional engagement, and behavioral intentions among older adults. Using a stratified samp...

Hybrid feature selection framework for enhanced credit card fraud detection using machine learning models.

PloS one
Electronic payment methods are increasingly prevalent worldwide, facilitating both in-person and online transactions. As credit card usage for online payments grows, fraud and payment defaults have also risen, resulting in significant financial losse...

Artificial Intelligence and Corruption: Opportunities and Challenges in the Health Sector.

The International journal of health planning and management
Corruption in health systems diverts resources, erodes trust, and reduces service quality. Traditional oversight methods struggle to detect fraudulent patterns, but Artificial Intelligence (AI) offers new possibilities. AI can analyse large datasets ...

Multifunctional Hydrogen-Bonded Organic Frameworks for Intelligent Anti-Counterfeiting and Food Safety Monitoring.

ACS applied materials & interfaces
In an era of increasing digital threats and product counterfeiting, this study introduces MA-IPA@NPA, a groundbreaking hydrogen-bonded organic framework (HOF) material designed for advanced anticounterfeiting applications. This innovative material sh...

Comparing machine learning models to chemometric ones to detect food fraud: A case study in Slovenian fruits and vegetables.

Food chemistry
We present a method for comparing models used to detect food fraud based on stable isotopes and trace element (SITE) levels. Existing modeling procedures generally do not provide an uncertainty estimate on a model's performance due to variations in t...

A benchmarking framework and dataset for learning to defer in human-AI decision-making.

Scientific data
Learning to Defer (L2D) algorithms improve human-AI collaboration by deferring decisions to human experts when they are likely to be more accurate than the AI model. These can be crucial in high-stakes tasks like fraud detection, where false negative...

Revisiting low-homophily for graph-based fraud detection.

Neural networks : the official journal of the International Neural Network Society
The openness of Internet stimulates a large number of fraud behaviors which have become a huge threat. Graph-based fraud detectors have attracted extensive interest since the abundant structure information of graph data has proved effective. Conventi...

AI, doping and ethics: On why increasing the effectiveness of detecting doping fraud in sport may be morally wrong.

Journal of medical ethics
In this article, our aim is to show why increasing the effectiveness of detecting doping fraud in sport by the use of artificial intelligence (AI) may be morally wrong. The first argument in favour of this conclusion is that using AI to make a non-id...