Data from Khalifa University of Science and Technology Advance Knowledge in Engineering (Blockchain-Based Processing of Health Insurance Claims for Prescription Drugs): Engineering

Health Policy and Law Daily

2022 NOV 24 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Investigators publish new report on engineering. According to news reporting from Abu Dhabi, United Arab Emirates, by NewsRx journalists, research stated, “The current legacy system used in processing health insurance claims causes a huge amount of financial loss every year due to fraud claims. It is also highly prone to privacy and security threats due to the use of traditional methods.”

Financial supporters for this research include Khalifa University of Science And Technology.

Our news journalists obtained a quote from the research from Khalifa University of Science and Technology: “Health insurance claims for prescription drugs are one such claim that is highly prone to being tampered with. Also, there is a lack of linkage in the prescription data between the medical care provider and the pharmacy, which also leads to miscommunication and the use of false prescriptions. In this paper, we propose processing health insurance claims for drug prescriptions using blockchain technology that manages the processing of prescription drugs in a private, secure, trustworthy, and decentralized manner. The proposed system utilizes a private Ethereum blockchain. The system includes two smart contracts: registration and approval smart contracts, which provide traceability and trustworthiness to the system. The system was integrated with off-chain storage (IPFS) and a fronted decentralized applications (DApps), which improves the accessibility of centralized patient information by authorized parties. To maintain the privacy of the data, a gateway is used to filter the data that can be viewed by the participants. We present the system architecture, sequence diagrams, entity-relationship diagram, and algorithms to demonstrate the working principles of the proposed process for processing health insurance claims for prescription drugs using blockchain.”

According to the news reporters, the research concluded: “The performance of the proposed solution is evaluated by conducting security analysis and comparing it to the existing solutions. Our smart contract code is publicly available on GitHub.”

For more information on this research see: Blockchain-Based Processing of Health Insurance Claims for Prescription Drugs. IEEE Access, 2022,10():118093-118107. (IEEE Access - http://ieeexplore.ieee.org/servlet/opac?punumber=6287639). The publisher for IEEE Access is IEEE.

A free version of this journal article is available at https://doi.org/10.1109/ACCESS.2022.3219837.

Our news editors report that additional information may be obtained by contacting Aysha Alnuaimi, Department of Industrial and Systems Engineering, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates. Additional authors for this research include Amna Alshehhi, Khaled Salah, Raja Jayaraman, Ilhaam A. Omar, Ammar Battah.