International Journal of Computer Science & Network Security

국제컴퓨터통신보호논문지학회 (International Journal of Computer Science & Network Security)
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Modelling Data Flow in Smart Claim Processing Using Time Invariant Petri Net with Fixed Input Data

  • 투고 : 2022.02.05
  • 발행 : 2022.02.28
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초록

The NHIS provides free or highly subsidized healthcare to all people by providing financial fortification. However, the financial sustainability of the scheme is threatened by numerous factors. Therefore, this work sought to provide a solution to process claims intelligently. The provided Petri net model demonstrated successful data flow among the various participant. For efficiency, scalability, and performance two main subsystems were modelled and integrated - data input and claims processing subsystems. We provided smart claims processing algorithm that has a simple and efficient error detection method. The complexity of the main algorithm is good but that of the error detection is excellent when compared to literature. Performance indicates that the model output is reachable from input and the token delivery rate is promising.

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참고문헌

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