New Engineering Findings from Department of Computer Sciences and Engineering Reported (A Blockchain-based Framework for Enhancing Fraud Detection, Transparency, and Efficiency In Health Insurance Claims): Engineering

2025 NOV 24 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Data detailed on Engineering have been presented. According to news reporting originating in Raipur, India, by NewsRx journalists, research stated, “The implementation of blockchain technology in healthcare facilities has the potential to transform patient data, insurance administration, and healthcare services. With a focus on insurance administration, this study presents a solidity-based smart contract architecture designed to maximise the healthcare ecosystem.”

The news reporters obtained a quote from the research from the Department of Computer Sciences and Engineering, “Important processes, including insurance claims, doctors and management, patient insurance registration, and hospital administration, can be automated through the contract. By keeping patient data, insurance plans, hospital information, and related transactions on a decentralised ledger, the contract guarantees security, transparency, and immutability while eliminating the need for intermediaries. The suggested framework makes sure that entities can share data safely and quickly. We have used the scyther tool to check the security of the protocol and show that it is strong enough to protect against authentication threats. Furthermore, for this proposed health insurance system, the author focuses on combining insurance and healthcare, guaranteeing automated claim approvals, safe data management, and fraud protection. The contract creates a unique policy number to ensure that each patient has only one active insurance policy. Patients submit insurance claims, which the pharmacy and the hospital must approve. We used Solidity with Remix IDE, a JavaScript-based platform available on browser and desktop.”

According to the news reporters, the research concluded: “Remix integrates with Web3 and Ganache, enabling efficient testing, deployment, and blockchain interaction, making it ideal for developing Ethereum-based healthcare applications.”

This research has been peer-reviewed.

For more information on this research see: A Blockchain-based Framework for Enhancing Fraud Detection, Transparency, and Efficiency In Health Insurance Claims. Peer-to-Peer Networking and Applications, 2025;18(6). Peer-to-Peer Networking and Applications can be contacted at: Springer, One New York Plaza, Suite 4600, New York, Ny, United States. (Springer - www.springer.com; Peer-to-Peer Networking and Applications - http://www.springerlink.com/content/1936-6442/)

Our news correspondents report that additional information may be obtained by contacting Preeti Chandrakar, Nit, Dept. of Computer Sciences and Engineering, Raipur, India. Additional authors for this research include Priyanka Prasad and Vipin Kumar Nayak.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s12083-025-02144-z. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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