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首页> 外文会议>IEEE International Conference on Internet of Things >Toward Privacy-Assured Health Insurance Claims
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Toward Privacy-Assured Health Insurance Claims

机译：走向隐私保险保险索赔

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摘要

According to HIPAA (Health Insurance Portability and Accountability Act), the medical insurance claim process is carried out by healthcare providers, insurance companies, and clearinghouses. The clearinghouse coordinates the medical insurance claims between providers and insurance companies. As centralized communication hubs, clearinghouses may maliciously or unintentionally leak patient information. In this work, we propose a distributed solution to replace the role of clearinghouses during health insurance claim process and mitigate the risk of data leakage among parties in Healthcare sector. Our solution enhances the patients' privacy protection through developing a HIPAA compliance system for the medical insurance claim process in a decentralized manner using blockchain technology. Blockchain ensures transaction integrity and anonymity of cryptocurrencies by using distributed immutable ledgers. We first design data structures for patient information, medical service record, insurance payment, and insurance agreements within the ledger. We then focus on defining smart contracts for privacy assurance, as well as automating the insurance claim process. We implement and evaluate the proposed framework with Hyperledger Fabric, showing promising performance and response time.
机译：根据HIPAA（健康保险便携性和问责法），医疗保险索赔进程由医疗保健提供者，保险公司和清算院进行。滤算院协调提供商和保险公司之间的医疗保险索赔。作为集中通信集线器，可以恶意或无意地泄漏患者信息。在这项工作中，我们提出了一个分布式解决方案，以取代清除露面在健康保险索赔过程中的作用，并减轻医疗保健部门各方之间的数据泄漏风险。我们的解决方案通过利用区块化技术以分散的方式制定医疗保险索赔进程的HIPAA合规制度来提高患者的隐私保护。 BlockChain通过使用分布式不可变分类仪来确保CryptoCurrencies的交易完整性和匿名性。我们首先为患者信息，医疗服务记录，保险支付和分类帐内的保险协议设计数据结构。然后，我们专注于定义隐私保障的智能合同，以及自动化保险索赔进程。我们实施并评估建议的框架与超载合影结构，呈现出具有明显的性能和响应时间。

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