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The US federal government spends more than a trillion dollars per year on health care, largely provided by private third parties and reimbursed by the government. A major concern in this system is overbilling, waste and fraud by providers,…

Computers and Society · Computer Science 2023-02-27 Shubhranshu Shekhar , Jetson Leder-Luis , Leman Akoglu

We develop quantum protocols for anomaly detection and apply them to the task of credit card fraud detection (FD). First, we establish classical benchmarks based on supervised and unsupervised machine learning methods, where average…

Quantum Physics · Physics 2022-08-03 Oleksandr Kyriienko , Einar B. Magnusson

Modern financial electronic exchanges are an exciting and fast-paced marketplace where billions of dollars change hands every day. They are also rife with manipulation and fraud. Detecting such activity is a major undertaking, which has…

Machine Learning · Computer Science 2023-09-04 Timothy DeLise

Life insurance, like other forms of insurance, relies heavily on large volumes of data. The business model is based on an exchange where companies receive payments in return for the promise to provide coverage in case of an accident. Thus,…

Applications · Statistics 2024-11-27 Andreas Groll , Akshat Khanna , Leonid Zeldin

Medicare fraud results in considerable losses for governments and insurance companies and results in higher premiums from clients. Medicare fraud costs around 13 billion euros in Europe and between 21 billion and 71 billion US dollars per…

Machine Learning · Computer Science 2022-03-14 Mansour Zoubeirou A Mayaki , Michel Riveill

Federated learning (FL) is proving to be one of the most promising paradigms for leveraging distributed resources, enabling a set of clients to collaboratively train a machine learning model while keeping the data decentralized. The…

Machine Learning · Computer Science 2022-09-12 Mirko Nardi , Lorenzo Valerio , Andrea Passarella

We study anomaly detection and introduce an algorithm that processes variable length, irregularly sampled sequences or sequences with missing values. Our algorithm is fully unsupervised, however, can be readily extended to supervised or…

Machine Learning · Statistics 2020-05-26 Oguzhan Karaahmetoglu , Fatih Ilhan , Ismail Balaban , Suleyman Serdar Kozat

Anomaly detection has many applications ranging from bank-fraud detection and cyber-threat detection to equipment maintenance and health monitoring. However, choosing a suitable algorithm for a given application remains a challenging design…

Anomaly detection in Endpoint Detection and Response (EDR) is a critical task in cybersecurity programs of large companies. With rapidly growing amounts of data and the omnipresence of zero-day attacks, manual and rule-based detection…

Improper health insurance payments resulting from fraud and upcoding result in tens of billions of dollars in excess health care costs annually in the United States, motivating machine learning researchers to build anomaly detection models…

Machine Learning · Computer Science 2022-06-17 Jesse B. Crawford , Nicholas Petela

This work presents a fraud and abuse detection framework for streaming services by modeling user streaming behavior. The goal is to discover anomalous and suspicious incidents and scale the investigation efforts by creating models that…

Machine Learning · Computer Science 2022-03-07 Soheil Esmaeilzadeh , Negin Salajegheh , Amir Ziai , Jeff Boote

Anomalies represent deviations from the intended system operation and can lead to decreased efficiency as well as partial or complete system failure. As the causes of anomalies are often unknown due to complex system dynamics, efficient…

Machine Learning · Computer Science 2021-08-31 Benjamin Lindemann , Benjamin Maschler , Nada Sahlab , Michael Weyrich

An anomaly detection method based on deep autoencoders is proposed to address anomalies that often occur in enterprise-level ETL data streams. The study first analyzes multiple types of anomalies in ETL processes, including delays, missing…

Machine Learning · Computer Science 2025-11-04 Xin Chen , Saili Uday Gadgil , Kangning Gao , Yi Hu , Cong Nie

With the rapid development of e-commerce, e-commerce platforms are facing an increasing number of fraud threats. Effectively identifying and preventing these fraudulent activities has become a critical research problem. Traditional fraud…

Machine Learning · Computer Science 2025-03-25 Xuan Li , Yuting Peng , Xiaoxuan Sun , Yifei Duan , Zhou Fang , Tengda Tang

Machine learning has become ubiquitous and a key technology on mining electronic health records (EHRs) for facilitating clinical research and practice. Unsupervised machine learning, as opposed to supervised learning, has shown promise in…

Anomaly detection in medical imaging is a challenging task in contexts where abnormalities are not annotated. This problem can be addressed through unsupervised anomaly detection (UAD) methods, which identify features that do not match with…

Image and Video Processing · Electrical Eng. & Systems 2023-09-07 Geoffroy Oudoumanessah , Carole Lartizien , Michel Dojat , Florence Forbes

We investigate unsupervised anomaly detection for high-dimensional data and introduce a deep metric learning (DML) based framework. In particular, we learn a distance metric through a deep neural network. Through this metric, we project the…

Machine Learning · Computer Science 2020-05-13 Selim F. Yilmaz , Suleyman S. Kozat

Unsupervised anomaly detection and localization is crucial to the practical application when collecting and labeling sufficient anomaly data is infeasible. Most existing representation-based approaches extract normal image features with a…

Computer Vision and Pattern Recognition · Computer Science 2021-11-17 Jiawei Yu , Ye Zheng , Xiang Wang , Wei Li , Yushuang Wu , Rui Zhao , Liwei Wu

Machine learning has helped advance the field of anomaly detection by incorporating classifiers and autoencoders to decipher between normal and anomalous behavior. Additionally, federated learning has provided a way for a global model to be…

We investigate anomaly detection in an unsupervised framework and introduce Long Short Term Memory (LSTM) neural network based algorithms. In particular, given variable length data sequences, we first pass these sequences through our LSTM…

Signal Processing · Electrical Eng. & Systems 2020-02-25 Tolga Ergen , Ali Hassan Mirza , Suleyman Serdar Kozat
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