Decision Support System (DSS) for Fraud Detection in Health Insurance Claims Using Genetic Support Vector Machines (GSVMs)

Table 2

Sample data size and the corresponding fraud types.

Fraud types	Sample data size
	100	300	500	750	1000
Duplicate claims	2	4	4	4	0
Uncovered service claims	4	56	65	109	406
Overbilling claims	44	60	91	121	202
Unbundled claims	0	18	10	54	0
Upcoded claims	2	34	50	122	6
Impersonation claims	0	2	10	23	34
Total suspected claims	52	174	230	433	648