health care fraud
保険料の値上げは、AIを悪用した詐欺のせいかもしれません。
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What is it?
犯罪者がAIを使い、偽の患者記録や診療報酬明細を自動生成。前例のないスピードと規模で医療保険制度から巨額の資金を詐取しています。
The Takeaway
今後は保険会社による診療報酬明細の審査が厳格化されます。その結果、日常的な医療手続きの承認に時間がかかるようになる可能性があります。
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