Shuang Geng

An explainable detection framework for health insurance fraud via temporal capture and confidence assurance

Abstract Fraud detection is essential to managing health insurance funds, yet current research methods are too broad for specific medical contexts. This study aims to narrow this gap by dissecting the workflow of health service providers to create a focused detection framework. T...

A Dynamic Graph–Based Multiobjective Optimization Method for Physician Recommendation: Development and Evaluation Study

Abstract Background Online health care consultation provides patients with broad access to physicians, but also presents the challenge of selecting a suitable doctor in the absence of triage guidance. Patients have multifaceted needs, prioritizing not only recommendation accuracy...