Analysis of Textual Features in the Automation of Medical Regulation
Abstract
In Brazil, private health plans face many financial problem, due to increasing demand for medical services, and fraud or abuse in the use of services. The adoption of prior authorization was important, but the maintenance of specialized teams for this task is still expensive, generating the need to automate this process. In this work, we investigate eight Machine Learning (ML) models (classical and deep learning) with the MIMIC-CXR data translated into Portuguese. The results show 95% accuracy with an RNN, in addition to identify important features using the LinearSVC model.
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