Article

A Generative AI-Enhanced Sociotechnical Framework (FRAIG) for Healthcare Fraud Detection: A Systematic Review and Evidence-Based Design

2026-05-21

Abstract excerpt

<title>Abstract</title> <p>Healthcare fraud detection presents significant challenges due to highly imbalanced datasets, evolving fraud patterns, and increasing regulatory requirements. While artificial intelligence (AI) approaches have demonstrated strong predictive performance, existing studies often lack methodological standardization, interpretability, and real-world applicability. This study presents a syste...

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Literature Corpus work: 53190774-d380-5cc4-98e3-2d33e4d7bc54
DOI: 10.21203/rs.3.rs-9389649/v1

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