Blockchain-based health insurance claim processing and management system

The current healthcare insurance claim requires more procedures to be claimed from an insurance company. Healthcare insurance companies are crucial for patient financial assistance, but efficient claim processing can lead to lower the levels of care. Patients have already claimed insurance in certain locations and are attempting to claim it again in another location. This work proposes to increase claim speed, avoid fraudulent claims, and provide privacy for patient data on decentralized storage through permissioned blockchain. To ensure patient data privacy and assist insurance agents and individuals in verifying eligibility and claim status, hash values are used to store data in a block. Every claim’s information is stored in a block. If the patient attempts to claim again, the agent will validate the block and have the option to accept or reject the request. The integrity, speed, and security of patient health information can be achieved through this technique.

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Institutions

Publication Details

Journal
Multiagent and Grid Systems
Published
2024-08-12
DOI
https://doi.org/10.3233/mgs-240101
Citations
3
Primary Topic
Blockchain Technology Applications and Security
Type
article
Field-Weighted Citation Impact
2.34
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Blockchain-based health insurance claim processing and management system

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Multiagent and Grid Systems
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article

Blockchain-based health insurance claim processing and management system

S. Kamakshi, M. Sumathi, S. P. Raja, T. S. Deepak, Kondraju Sailendra, Gagan Khatri
article en
3 citations

Abstract

The current healthcare insurance claim requires more procedures to be claimed from an insurance company. Healthcare insurance companies are crucial for patient financial assistance, but efficient claim processing can lead to lower the levels of care. Patients have already claimed insurance in certain locations and are attempting to claim it again in another location. This work proposes to increase claim speed, avoid fraudulent claims, and provide privacy for patient data on decentralized storage through permissioned blockchain. To ensure patient data privacy and assist insurance agents and individuals in verifying eligibility and claim status, hash values are used to store data in a block. Every claim’s information is stored in a block. If the patient attempts to claim again, the agent will validate the block and have the option to accept or reject the request. The integrity, speed, and security of patient health information can be achieved through this technique.

Multiagent and Grid SystemsVol. 20(2)
Vellore Institute of Technology University (IN), SASTRA University (IN)
Openalex Percentile: Top 9%
Blockchain Technology Applications and Security
2.34
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