What are some ways that data mining could be used to detect fraud in health insurance claims?
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What are some ways that data mining could be used to detect fraud in health insurance claims?
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Provide a short summary on the attached article.
Discussion Question
1. What are some ways that data mining could be used to detect fraud in health insurance claims?
2. How could private insurance companies and public government agencies collaborate to combat insurance fraud?
3. What types of business skills would be necessary to define the rules for and analyze the results from data mining?
4. What business processes are necessary to complement the IS component of data mining?
