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Journal articles on the topic 'Verification and admission of claim'

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1

Emeka, Anichebe Gregory. "Verification and Processing of Academic Certificates Using Web Services." PERSPEKTIF 13, no. 1 (2024): 311–18. http://dx.doi.org/10.31289/perspektif.v13i1.10658.

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A web service is a set of code of a server application that performs a specific task or service whenever it is invoked through a Remote Procedure Call (RPC) by a client application that is connected to the server over the Internet. Web services are one of the digital strategies that can be used by the government for curtailing academic certificate scandals being perpetrated by fraudulent individuals in various sectors of the economy. The traditional method of checking academic records and certificates manually is inefficient and prone to forgery by unscrupulous elements. Similarly, the e-trans
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Santoso, Budi, Julita Hendrartini, Bambang Udji Djoko Rianto, and Laksono Trisnantoro. "SYSTEM FOR DETECTION OF NATIONAL HEALTHCARE INSURANCE FRAUD BASED ON COMPUTER APPLICATION." Public Health of Indonesia 4, no. 2 (2018): 46–56. http://dx.doi.org/10.36685/phi.v4i2.199.

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Background: The national healthcare insurance (JKN) has been in deficit since 2014-2016; one of the causes is fraud inpatient hospital service. Objective: This study aimed to analyze the validity, reliability and effectiveness of detection system of national healthcare insurance fraud based on computer application in hospital.Methods: Cross-sectional method was used. Fraud data were collected at one episode in the inpatient JKN participant service.Results: Validity was assessed by Fischer exact test. The interpretation was done by hospital internal verification officer and BPJS Kesehatan verif
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Kapidžić-Duraković, Suada, Maida Zonić-Imamović, and Ahmet Mulaosmanović. "Family participation in determination of FIM and Barthel indices." Bosnian Journal of Basic Medical Sciences 6, no. 2 (2008): 51–54. http://dx.doi.org/10.17305/bjbms.2006.3172.

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Functional Independence Measure (FIM) is a basic indicator of severity of disability, and is used for measurement of functional independence. The aim of this paper is to present our initial experiences in the application of FIM. It needs to be noted that we have had an incomplete team in implementation of this project, and also that we have involved the patients and their families in the measurement of FIM. We selected a small sample of 23 patients, and measured their FIM and Barthel index both at the admission and discharge from the hospital. We do accept that this sample may be too small for
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Warren, David K., Katelin B. Nickel, Anna E. Wallace, Daniel Mines, Victoria J. Fraser, and Margaret A. Olsen. "Can Additional Information Be Obtained from Claims Data to Support Surgical Site Infection Diagnosis Codes?" Infection Control & Hospital Epidemiology 35, S3 (2014): S124—S132. http://dx.doi.org/10.1086/677830.

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Objective.International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes are increasingly used to identify healthcare-associated infections, often with insufficient evidence demonstrating validity of the codes used. Absent medical record verification, we sought to confirm a claims algorithm to identify surgical site infections (SSIs) by examining the presence of clinically expected SSI treatment.Methods.We performed a retrospective cohort study, using private insurer claims data from persons less than 65 years old with ICD-9-CM procedure or Current P
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Heltiani, Nofri, Lolli Nababan, Lolli Nababan, and Liza Putri. "Completeness of Delivery and Accuracy of Delivery Diagnosis Code On The Smooth Verification of BPJS Claims in Hospital." Greenation International Journal of Tourism and Management 1, no. 3 (2023): 276–85. http://dx.doi.org/10.38035/gijtm.v1i3.98.

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The completeness of the files and the accuracy of the diagnostic code have an important role in the smooth verification of claims and are the basis for the approval of fee billing by BPJS to Hospitals. From the results of initial observations of 10 samples of claim files for delivery cases submitted to BPJS, it was found that 4 (40%) files passed verification and 6 (60%) files were pending due to incomplete claim files such as no supporting reports and DPJP signatures and coding information which are not in accordance with BPJS Health, resulting in delays in the claim payment process which cau
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6

Zeng, Xia, and Arkaitz Zubiaga. "Aggregating pairwise semantic differences for few-shot claim verification." PeerJ Computer Science 8 (October 25, 2022): e1137. http://dx.doi.org/10.7717/peerj-cs.1137.

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As part of an automated fact-checking pipeline, the claim verification task consists in determining if a claim is supported by an associated piece of evidence. The complexity of gathering labelled claim-evidence pairs leads to a scarcity of datasets, particularly when dealing with new domains. In this article, we introduce Semantic Embedding Element-wise Difference (SEED), a novel vector-based method to few-shot claim verification that aggregates pairwise semantic differences for claim-evidence pairs. We build on the hypothesis that we can simulate class representative vectors that capture ave
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Chen, Jiangjie, Qiaoben Bao, Changzhi Sun, et al. "LOREN: Logic-Regularized Reasoning for Interpretable Fact Verification." Proceedings of the AAAI Conference on Artificial Intelligence 36, no. 10 (2022): 10482–91. http://dx.doi.org/10.1609/aaai.v36i10.21291.

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Given a natural language statement, how to verify its veracity against a large-scale textual knowledge source like Wikipedia? Most existing neural models make predictions without giving clues about which part of a false claim goes wrong. In this paper, we propose LOREN, an approach for interpretable fact verification. We decompose the verification of the whole claim at phrase-level, where the veracity of the phrases serves as explanations and can be aggregated into the final verdict according to logical rules. The key insight of LOREN is to represent claim phrase veracity as three-valued laten
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Hanisah, Hanisah, Asmaripa Ainy, and Iwan Stia Budi. "A Position Analysis of BPJS Claims Administration Officers and Verifiers (Case Study: Jambi Province Regional Mental Hospital)." Preventia : The Indonesian Journal of Public Health 8, no. 2 (2023): 39. http://dx.doi.org/10.17977/um044v8i22023p39-46.

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The high coverage rate of handling partially rejected claim financing reaching 7.34% of the total 19,476 cases in the Outpatient Unit of the Jambi Provincial Mental Hospital (RSJD) in 2022, is closely related to the quality of human resources (HR) in this case, the claims officer and the suitability of what is done with the job description, job specifications and standard operating procedures (SOP) that have been made. This study aimed to analyze the position of administrative officers and claim verifiers in the outpatient unit of the Jambi Provincial Mental Hospital. This research used a qual
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9

Wu, Lianwei, Yuan Rao, Ling Sun, and Wangbo He. "Evidence Inference Networks for Interpretable Claim Verification." Proceedings of the AAAI Conference on Artificial Intelligence 35, no. 16 (2021): 14058–66. http://dx.doi.org/10.1609/aaai.v35i16.17655.

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Existing approaches construct appropriate interaction models to explore semantic conflicts between claims and relevant articles, which provides practical solutions for interpretable claim verification. However, these conflicts are not necessarily all about questioning the false part of claims, which makes considerable semantic conflicts difficult to be used as evidence to explain the results of claim verification. In this paper, we propose evidence inference networks (EVIN), which focus on the conflicts questioning the core semantics of claims and serve as evidence for interpretable claim veri
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Casillas, Ramón, Helena Gómez-Adorno, Victor Lomas-Barrie, and Orlando Ramos-Flores. "Automatic Fact Checking Using an Interpretable Bert-Based Architecture on COVID-19 Claims." Applied Sciences 12, no. 20 (2022): 10644. http://dx.doi.org/10.3390/app122010644.

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We present a neural network architecture focused on verifying facts against evidence found in a knowledge base. The architecture can perform relevance evaluation and claim verification, parts of a well-known three-stage method of fact-checking. We fine-tuned BERT to codify claims and pieces of evidence separately. An attention layer between the claim and evidence representation computes alignment scores to identify relevant terms between both. Finally, a classification layer receives the vector representation of claims and evidence and performs the relevance and verification classification. Ou
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Erlanson, Albin, and Andreas Kleiner. "Costly verification in collective decisions." Theoretical Economics 15, no. 3 (2020): 923–54. http://dx.doi.org/10.3982/te3101.

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We study how a principal should optimally choose between implementing a new policy and maintaining the status quo when information relevant for the decision is privately held by agents. Agents are strategic in revealing their information; the principal cannot use monetary transfers to elicit this information, but can verify an agent's claim at a cost. We characterize the mechanism that maximizes the expected utility of the principal. This mechanism can be implemented as a cardinal voting rule, in which agents can either cast a baseline vote, indicating only whether they are in favor of the new
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Praja, Nucky Indra, Ineke Winda Ferianasari, and Cornelia Jaqualina. "The Effectiveness of Health BPJS Claim Discrepancies Against Health Service Standards in Indonesia." FIRM Journal of Management Studies 9, no. 1 (2024): 164. https://doi.org/10.33021/firm.v9i1.5804.

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This study aims to evaluate the effectiveness of the Badan Penyelenggara Jaminan Sosial (BPJS) health system in addressing claim discrepancies in relation to health service standards in Indonesia. As a social security administration agency, BPJS Health faces various challenges concerning claim discrepancies, which can impact the quality of healthcare services provided to the community. Health insurance claims refer to submissions made by healthcare facilities to BPJS for reimbursement of healthcare service costs. These claims are submitted collectively on a monthly basis, accompanied by suppor
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Clément, Jean-Marc. "Proving FTA Preferential Tariff Eligibility: The Evidentiary Burden in Canada." Global Trade and Customs Journal 15, Issue 3/4 (2020): 168–71. http://dx.doi.org/10.54648/gtcj2020022.

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As is the case with most free trade agreements, importers simply claim preferential tariff eligibility at the time of import. This claim can later be subject to verification by the customs administration in view of determining if it was valid. Proving preferential tariff entitlement requires assembling and presenting relevant facts and documents that support the claim. But just how much evidence is necessary in order to discharge that burden? In Canada there has always been a disconnect between what the Canada Border Services Agency (CBSA) deems necessary in the course of an origin verificatio
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Pranabella Syafitri, Putriyana, Nurul Kamilah, and Fety Fatimah. "Sistem Informasi Pengajuan Klaim Berbasis Website di PT. Asuransi Kredit Indonesia Kantor Cabang Bogor." ETNIK: Jurnal Ekonomi dan Teknik 2, no. 3 (2023): 181–96. http://dx.doi.org/10.54543/etnik.v2i3.162.

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Credit Insurance is insurance protection to the insured (banks) against risks or credit that is not paid by the debtor which causes a claim to the insurer (insurance). A claim is a claim for payment of compensation due to the debtor not fulfilling its obligations. The purpose of this research is because verification of claim completeness data is still done manually, so that information related to completeness status is delayed, this is due to the absence of a system that provides information effectively and efficiently in the claims section. Based on this, a web-based claim submission informat
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15

Li, Peiguang, Xian Sun, Hongfeng Yu, Wenkai Zhang, and Guangluan Xu. "An enhanced dynamic interaction network for claim verification." Neurocomputing 439 (June 2021): 34–43. http://dx.doi.org/10.1016/j.neucom.2020.12.112.

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Bekoulis, Giannis, Christina Papagiannopoulou, and Nikos Deligiannis. "A Review on Fact Extraction and Verification." ACM Computing Surveys 55, no. 1 (2023): 1–35. http://dx.doi.org/10.1145/3485127.

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We study the fact-checking problem, which aims to identify the veracity of a given claim. Specifically, we focus on the task of Fact Extraction and VERification (FEVER) and its accompanied dataset. The task consists of the subtasks of retrieving the relevant documents (and sentences) from Wikipedia and validating whether the information in the documents supports or refutes a given claim. This task is essential and can be the building block of applications such as fake news detection and medical claim verification. In this article, we aim at a better understanding of the challenges of the task
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Liu, Yuxuan, Hongda Sun, Wenya Guo, et al. "BiDeV: Bilateral Defusing Verification for Complex Claim Fact-Checking." Proceedings of the AAAI Conference on Artificial Intelligence 39, no. 1 (2025): 541–49. https://doi.org/10.1609/aaai.v39i1.32034.

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Complex claim fact-checking performs a crucial role in disinformation detection. However, existing fact-checking methods struggle with claim vagueness, specifically in effectively handling latent information and complex relations within claims. Moreover, evidence redundancy, where non-essential information complicates the verification process, remains a significant issue. To tackle these limitations, we propose Bilateral Defusing Verification (BiDeV), a novel fact-checking working-flow framework integrating multiple role-played LLMs to mimic the human-expert fact-checking process. BiDeV consis
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18

Li, Xiaoyu, Weihong Wang, Jifei Fang, Li Jin, Hankun Kang, and Chunbo Liu. "PEINet: Joint Prompt and Evidence Inference Network via Language Family Policy for Zero-Shot Multilingual Fact Checking." Applied Sciences 12, no. 19 (2022): 9688. http://dx.doi.org/10.3390/app12199688.

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Zero-shot multilingual fact-checking, which aims to discover and infer subtle clues from the retrieved relevant evidence to verify the given claim in cross-language and cross-domain scenarios, is crucial for optimizing a free, trusted, wholesome global network environment. Previous works have made enlightening and practical explorations in claim verification, while the zero-shot multilingual task faces new challenging gap issues: neglecting authenticity-dependent learning between multilingual claims, lacking heuristic checking, and a bottleneck of insufficient evidence. To alleviate these gaps
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Wahyudin, Yudi. "STUDY OF CLAIMS FOR COMPENSATION OF DAMAGE TO CORAL REEF ECOSYSTEM DUE TO VESSEL GROUNDED IN THE WATERS AREA OF CILIK ISLAND, KARIMUNJAWA SUBDISTRICT, JEPARA REGENCY, CENTRAL JAVA PROVINCE." Indonesian Journal of Social Research (IJSR) 2, no. 1 (2020): 111–18. http://dx.doi.org/10.30997/ijsr.v2i1.27.

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The purpose of this research is to conduct a claim of compensation claim for damage to the coral reef ecosystem as a vessel grounded in the waters of Cilik island, Karimunjawa Subdistrict, Jepara Regency, Central Java Province. The research method of this study conducted using survey and case of study. The analyses used by this study was economic valuation of ecosystem services loss, cost of coral reef restoration and cost of verification and dispute resolution. The result of this study showed that the total claim of compensation amounted IDR 3,067,031,155.96 (USD 227,466.52) for compensating
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Anton Susanto, Galih Maheswari Candraningtyas, and Agus Trijono. "Akurasi Pengkodean Diagnosis dan Prosedur Medis serta Implikasinya terhadap Klaim JKN di RSUD Pandan Arang." Jurnal Ilmiah Kedokteran dan Kesehatan 4, no. 3 (2025): 306–17. https://doi.org/10.55606/klinik.v4i3.4610.

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The National Health Insurance (JKN) program requires accurate coding of diagnoses and medical procedures for claims submission under the INA-CBGs payment system. This study aims to analyze the accuracy of diagnosis and procedure coding and its impact on claim verification and payment status at Pandan Arang Regional Hospital, Boyolali. A descriptive qualitative method with a retrospective approach was applied to 100 randomly selected inpatient claim files from January to March 2023. Results showed that 18% of diagnosis codes and 1% of procedure codes were inaccurate, leading to pending claim st
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Nasution, Sri Lestari Ramadhani, Yohana Candra Andini Hutabarat, and Chrismis Novalinda Ginting. "Evaluation of the Role of Internal Verification Doctors in Reducing Pending Claims at Murni Teguh Medan Hospital in 2022." Jurnal Penelitian Pendidikan IPA 9, SpecialIssue (2023): 563–69. http://dx.doi.org/10.29303/jppipa.v9ispecialissue.5533.

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In the claim verification process, errors are still encountered which cause the claim to be pending. The problem of pending claims that occurs causes many losses for the Hospital. Therefore, an internal verifier is needed to supervise claim verification so that problems with pending claims can be minimized. Internal verification doctors have an important task in reducing the number of pending claims, especially to control the suitability of coding with diagnoses on medical resumes. The aim of this research is to analyze and describe the contribution of internal verifier doctors in reducing pen
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Chen, Chonghao, Jianming Zheng, and Honghui Chen. "Knowledge-Enhanced Graph Attention Network for Fact Verification." Mathematics 9, no. 16 (2021): 1949. http://dx.doi.org/10.3390/math9161949.

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Fact verification aims to evaluate the authenticity of a given claim based on the evidence sentences retrieved from Wikipedia articles. Existing works mainly leverage the natural language inference methods to model the semantic interaction of claim and evidence, or further employ the graph structure to capture the relation features between multiple evidences. However, previous methods have limited representation ability in encoding complicated units of claim and evidences, and thus cannot support sophisticated reasoning. In addition, a limited amount of supervisory signals lead to the graph en
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Sya'diah,SST,MKes., Yayah. "TINJAUAN FAKTOR KETERLAMBATAN PENGAJUAN KLAIM PASIEN RAWAT INAP KE BADAN PENYELENGGARA JAMINAN SOSIAL KESEHATAN DI RSU UNIVERSITAS KRISTEN INDONESIA." MEDICORDHIF Jurnal Rekam Medis 11, no. 2 (2024): 49–56. http://dx.doi.org/10.59300/mjrm.v11i2.122.

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The implementation of Vedika Digital Claim Verification for Advanced Referral Health Facilities has facilitated the verification process of claims submitted by hospitals through a digital application managed by the Health Social Security Agency on Health. The integration of Vedika has resulted in enhanced participant satisfaction by improving service delivery. This research aims to investigate the factors contributing to delays in the submission of inpatient claims to BPJS Kesehatan at UKI Hospitals, with a focus on the 5M factors: Man, Method, Material, Machine, and Money. The research method
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Mylovanov, Tymofiy, and Andriy Zapechelnyuk. "Optimal Allocation with Ex Post Verification and Limited Penalties." American Economic Review 107, no. 9 (2017): 2666–94. http://dx.doi.org/10.1257/aer.20140494.

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Several agents with privately known social values compete for a prize. The prize is allocated based on the claims of the agents, and the winner is subject to a limited penalty if he makes a false claim. If the number of agents is large, the optimal mechanism places all agents above a threshold onto a shortlist along with a fraction of agents below the threshold, and then allocates the prize to a random agent on the shortlist. When the number of agents is small, the optimal mechanism allocates the prize to the agent who makes the highest claim, but restricts the range of claims above and below.
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Zheng, Liwen, Chaozhuo Li, Litian Zhang, et al. "MRR-FV: Unlocking Complex Fact Verification with Multi-Hop Retrieval and Reasoning." Proceedings of the AAAI Conference on Artificial Intelligence 39, no. 24 (2025): 26066–74. https://doi.org/10.1609/aaai.v39i24.34802.

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The pervasive spread of misinformation on social networks highlights the critical necessity for effective fact verification systems. Traditional approaches primarily focus on pairwise correlations between claims and evidence, often neglecting comprehensive multi-hop retrieval and reasoning, which results in suboptimal performance when dealing with complex claims. In this paper, we propose MRR-FV, a generative retrieval-enhanced model designed to address the novel challenge of Multi-hop Retrieval and Reasoning for Fact Verification, which integrates two core modules: Generative Multi-hop Retrie
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Krishna, Amrith, Sebastian Riedel, and Andreas Vlachos. "ProoFVer: Natural Logic Theorem Proving for Fact Verification." Transactions of the Association for Computational Linguistics 10 (2022): 1013–30. http://dx.doi.org/10.1162/tacl_a_00503.

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Abstract Fact verification systems typically rely on neural network classifiers for veracity prediction, which lack explainability. This paper proposes ProoFVer, which uses a seq2seq model to generate natural logic-based inferences as proofs. These proofs consist of lexical mutations between spans in the claim and the evidence retrieved, each marked with a natural logic operator. Claim veracity is determined solely based on the sequence of these operators. Hence, these proofs are faithful explanations, and this makes ProoFVer faithful by construction. Currently, ProoFVer has the highest label
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Aly, Rami, and Andreas Vlachos. "TabVer: Tabular Fact Verification with Natural Logic." Transactions of the Association for Computational Linguistics 12 (2024): 1648–71. https://doi.org/10.1162/tacl_a_00722.

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Abstract Fact verification on tabular evidence incentivizes the use of symbolic reasoning models where a logical form is constructed (e.g., a LISP-style program), providing greater verifiability than fully neural approaches. However, these logical forms typically rely on well-formed tables, restricting their use in many scenarios. An emerging symbolic reasoning paradigm for textual evidence focuses on natural logic inference, which constructs proofs by modeling set-theoretic relations between a claim and its evidence in natural language. This approach provides flexibility and transparency but
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Muluk, Ikhlaq, M. Natsir Nugroho, and Wahyuni Dian Purwati. "Factors Affecting the Settlement of BPJS Against the Approval Verifiers BPJS at Citama Hospital." Jurnal Health Sains 4, no. 3 (2023): 53–61. http://dx.doi.org/10.46799/jhs.v4i3.858.

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The hospital claim process starts with completing the document file as a condition for submitting a claim by the hospital coding officer. A verifier verifies the claim file at the BPJS Center. Verification is researching and checking the claim's Completeness, validity, and feasibility. After verification, the claim file is sent to the Branch Office / District / City Operational Office of BPJS Kesehatan. The Completeness of the document file is an important part of the claim process. If the Hospital can meet the Completeness of the documents, it is likely that the faster the process of reimburs
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De Felice, Carmela, Carmelo Fabio Longo, Misael Mongiovì, Daniele Francesco Santamaria, and Giusy Giulia Tuccari. "EVOCA: Explainable Verification of Claims by Graph Alignment." Information 16, no. 7 (2025): 597. https://doi.org/10.3390/info16070597.

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The paper introduces EVOCA—Explainable Verification Of Claims by Graph Alignment—a hybrid approach that combines NLP (Natural Language Processing) techniques with the structural advantages of knowledge graphs to manage and reduce the amount of evidence required to evaluate statements. The approach leverages the explicit and interpretable structure of semantic graphs, which naturally represent the semantic structure of a sentence—or a set of sentences—and explicitly encodes the relationships among different concepts, thereby facilitating the extraction and manipulation of relevant information.
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Nie, Yixin, Haonan Chen, and Mohit Bansal. "Combining Fact Extraction and Verification with Neural Semantic Matching Networks." Proceedings of the AAAI Conference on Artificial Intelligence 33 (July 17, 2019): 6859–66. http://dx.doi.org/10.1609/aaai.v33i01.33016859.

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The increasing concern with misinformation has stimulated research efforts on automatic fact checking. The recentlyreleased FEVER dataset introduced a benchmark factverification task in which a system is asked to verify a claim using evidential sentences from Wikipedia documents. In this paper, we present a connected system consisting of three homogeneous neural semantic matching models that conduct document retrieval, sentence selection, and claim verification jointly for fact extraction and verification. For evidence retrieval (document retrieval and sentence selection), unlike traditional v
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K, Balamurugan. "Fact Checking Health Claims Using Transformers and Rag Techniques." INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT 09, no. 05 (2025): 1–9. https://doi.org/10.55041/ijsrem48597.

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Abstract - The project aims to build an AI-driven fact checking model for medical and health related claims. The rapid spread of medical misinformation on digital platforms poses a serious threat to public health, leading to misinformed decisions, distrust in scientific research, and potential health crises. This project introduces an AI-powered fact-checking system that verifies the accuracy of health-related claims using advanced NLP techniques. The system leverages BioBERT for medical entity extraction, Retrieval-Augmented Generation (RAG) to fetch relevant evidence from trusted medical sou
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Freedman, Gabriel, Adam Dejl, Deniz Gorur, Xiang Yin, Antonio Rago, and Francesca Toni. "Argumentative Large Language Models for Explainable and Contestable Claim Verification." Proceedings of the AAAI Conference on Artificial Intelligence 39, no. 14 (2025): 14930–39. https://doi.org/10.1609/aaai.v39i14.33637.

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The profusion of knowledge encoded in large language models (LLMs) and their ability to apply this knowledge zero-shot in a range of settings makes them promising candidates for use in decision-making. However, they are currently limited by their inability to provide outputs which can be faithfully explained and effectively contested to correct mistakes. In this paper, we attempt to reconcile these strengths and weaknesses by introducing argumentative LLMs (ArgLLMs), a method for augmenting LLMs with argumentative reasoning. Concretely, ArgLLMs construct argumentation frameworks, which then se
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Chen, Chonghao, Jianming Zheng, and Honghui Chen. "CosG: A Graph-Based Contrastive Learning Method for Fact Verification." Sensors 21, no. 10 (2021): 3471. http://dx.doi.org/10.3390/s21103471.

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Fact verification aims to verify the authenticity of a given claim based on the retrieved evidence from Wikipedia articles. Existing works mainly focus on enhancing the semantic representation of evidence, e.g., introducing the graph structure to model the evidence relation. However, previous methods can’t well distinguish semantic-similar claims and evidences with distinct authenticity labels. In addition, the performances of graph-based models are limited by the over-smoothing problem of graph neural networks. To this end, we propose a graph-based contrastive learning method for fact verific
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Stevenson, Ian. "Ropelike Birthmarks on Children Who Claim to Remember Past Lives." Psychological Reports 89, no. 1 (2001): 142–44. http://dx.doi.org/10.2466/pr0.2001.89.1.142.

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Description of birthmarks having the pattern of strands of a rope in a second known case includes some verification of the correspondence between the birthmarks and injuries from ropes on an identified deceased person.
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Huboyo, Haryono, Hari Wibowo, and Winda Retna Sari. "Green House Gases (GHG’s) Emission Reduction Measures and Verification Challenge at Transport Sector." MATEC Web of Conferences 159 (2018): 01027. http://dx.doi.org/10.1051/matecconf/201815901027.

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The Ministry of Transportation Republic of Indonesia adopted several co-benefits activities related to climate change mitigation action through 2010-2014. In order to claim these activities results as climate change mitigation action, Ministry of Environment and Forestry need to verify them. The verification covers data accuracy, consistency, transparency and completeness of data quality and information. The author also verify the other parameters such as the calculation method, managerial system, monitoring system and funding support. In this program, several mitigation actions were implement
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Ulum, Miftachul. "KELENGKAPAN BERKAS PERSYARATAN KLAIM BPJS PADA PASIEN RAWAT INAP DI RUMAH SAKIT WAVA HUSADA MALANG." JRMIK 5, no. 1 (2024): 23–32. http://dx.doi.org/10.58535/jrmik.v5i1.63.

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The completeness of medical record file information is very important for verification of claims. Verification of claims is specially prepared with the aim of being a reference verifier of claims on BPJS. Completeness of medical records also maintains health facilities for service quality and efficiency of health service costs up to the disbursement of claims to health care providers. The purpose of this report is to find out the Completeness of BPJS claim requirements for inpatients at Wava Husada Hospital in 2022 with an observation method in the form of a checklist conducted on March 21-Mar
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Zenin, S. S., K. V. Mashkova, and G. N. Suvorov. "Gender Verification Issues in Sports: The UK Experience." Lex Russica, no. 1 (January 19, 2021): 94–100. http://dx.doi.org/10.17803/1729-5920.2021.170.1.094-100.

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In the context of the increased attention to the rights of the LGBTQ community representatives, the problem of allowing transgender people to participate in sports competitions cannot but arise, which is the subject of discussion at the level of the IOC and international sports federations. In these circumstances, the legislator and the sports community face a difficult task to balance the idea of universal equality in the context of access to sports regardless of gender and fair competition, which is reasonably questioned in cases of admission of transgender people to women's competitions.The
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38

Garrido Wainer, Juan Manuel. "The Post-deconstructive Concept of Evidence." Research in Phenomenology 53, no. 1 (2023): 31–48. http://dx.doi.org/10.1163/15691640-12341514.

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Abstract The general objective of this essay is to systematize Jean-Luc Nancy’s post- deconstructive reflections on the concept of evidence. A general claim of this paper is that the post-deconstructive concept of evidence is genuinely an epistemic concept of evidence insofar as it refers to structures involved in verification processes. Evidence is the presentation of a state of affairs that relates the presentation not only to what we claim about this state of affairs but also to the singular circumstances of its production. Verification (the production of a claim’s truth) results directly f
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39

Grześków, Małgorzata. "LEGAL CLAIM OF A MILITARIZED FORMATION OFFICER FOR ADMISSION TO SERVICE." Roczniki Administracji i Prawa specjalny, no. XXI (2021): 611–21. http://dx.doi.org/10.5604/01.3001.0015.6208.

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Employment in militarized services should be of interest not only to representatives of the doctrine of administrative law, but also to labor law. One-sided approach to these issues (only from the perspective of one field of law) gives an incomplete picture and forces to use certain simplifications. The article deals with the issue of the possibility of a militarized service officer claiming to be admitted to service. The analyzed issue was presented in a comparative legal aspect. The aim of the article is to answer the question whether, in the event of an officer not admitting to the service,
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40

Cao, Han, Lingwei Wei, Wei Zhou, and Songlin Hu. "Enhancing Multi-Hop Fact Verification with Structured Knowledge-Augmented Large Language Models." Proceedings of the AAAI Conference on Artificial Intelligence 39, no. 22 (2025): 23514–22. https://doi.org/10.1609/aaai.v39i22.34520.

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The rapid development of social platforms exacerbates the dissemination of misinformation, which stimulates the research in fact verification. Recent studies tend to leverage semantic features to solve this problem as a single-hop task. However, the process of verifying a claim requires several pieces of evidence with complicated inner logic and relations to verify the given claim in real-world situations. Recent studies attempt to improve both understanding and reasoning abilities to enhance the performance, but they overlook the crucial relations between entities that benefit models to under
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Valentina, Mita Sari, and Tri Widya Sandika. "Tinjauan Penolakan Pada Klaim Pasien BPJS Kesehatan di RSUD Tanjung Pura." Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) 7, no. 1 (2022): 65–72. http://dx.doi.org/10.52943/jipiki.v7i1.695.

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Rejection of claims is one of the obstacles in the BPJS Kesehatan claim collection process. The purpose of this study was to determine the description of administrative verification on the rejection of BPJS Kesehatan patient claims at Tanjung Pura Hospital. This type of research is descriptive qualitative. The population is all BPJS patient medical record files that were rejected in June 2021 counted 135 files and BPJS Kesehatan claiming officers at Tanjung Pura Hospital, totaling 2 people. The samples of this study were the medical record files of BPJS patients who were rejected in June 2021
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42

Ahid, Muhamad. "DIGITAL VERIFICATION CLAIM SYSTEM (VEDIKA) BPJS KESEHATAN SIDOARJO REGIONAL PUBLIC HOSPITAL IN 2019." Journal of Public Health Research and Community Health Development 5, no. 1 (2021): 1. http://dx.doi.org/10.20473/jphrecode.v5i1.19848.

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Background: The Claim Digital Verification System (VEDIKA) is a system developed by BPJS Healthcare to reduce claim of pending, accelerate the process of verifying claims, and reduce the operational burden of BPJS healthcare. This is as a follow-up to the emergence of hospital complaints regarding the implementation of INA CBG'S claim payment, The complaint has an impact on hospital satisfaction rate against BPJS healthcare decline. Purpose: This study aimed to described the VEDIKA BPJS Healthcare at the Regional Public Hospital of Sidoarjoin 2019. Methods: This descriptive research was conden
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Zhang, Congzhi, Linhai Zhang, and Deyu Zhou. "Causal Walk: Debiasing Multi-Hop Fact Verification with Front-Door Adjustment." Proceedings of the AAAI Conference on Artificial Intelligence 38, no. 17 (2024): 19533–41. http://dx.doi.org/10.1609/aaai.v38i17.29925.

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Multi-hop fact verification aims to detect the veracity of the given claim by integrating and reasoning over multiple pieces of evidence. Conventional multi-hop fact verification models are prone to rely on spurious correlations from the annotation artifacts, leading to an obvious performance decline on unbiased datasets. Among the various debiasing works, the causal inference-based methods become popular by performing theoretically guaranteed debiasing such as casual intervention or counterfactual reasoning. However, existing causal inference-based debiasing methods, which mainly formulate fa
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O'Rourke, Cassandra, and Megan Gernt. "580 Setting the Burn Team Up for Success." Journal of Burn Care & Research 43, Supplement_1 (2022): S126—S127. http://dx.doi.org/10.1093/jbcr/irac012.208.

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Abstract Introduction Hybrid burn centers are challenged to meet the criteria of the ABA verification process. When burn care occurs in different units across a hospital, it is difficult to ensure all areas are aware of the verification criteria and ensure timelines and expectations of optimal burn care are understood. Our center had difficulty ensuring rehabilitation referrals were placed on admission to allow the maximum amount of time for these services to establish a plan of care. Staffing issues were identified as contributing to the inability to consistently establish a rehabilitation pr
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Kemp, R. Scott, Areg Danagoulian, Ruaridh R. Macdonald, and Jayson R. Vavrek. "Physical cryptographic verification of nuclear warheads." Proceedings of the National Academy of Sciences 113, no. 31 (2016): 8618–23. http://dx.doi.org/10.1073/pnas.1603916113.

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How does one prove a claim about a highly sensitive object such as a nuclear weapon without revealing information about the object? This paradox has challenged nuclear arms control for more than five decades. We present a mechanism in the form of an interactive proof system that can validate the structure and composition of an object, such as a nuclear warhead, to arbitrary precision without revealing either its structure or composition. We introduce a tomographic method that simultaneously resolves both the geometric and isotopic makeup of an object. We also introduce a method of protecting i
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Chen, Juan, Wei Wu, Chun Wen Song, Bo Hong Liu, and Xiao Ye Qi. "Validation and Verification of Life Prediction Technology for Electromechanical Products." Applied Mechanics and Materials 58-60 (June 2011): 1690–95. http://dx.doi.org/10.4028/www.scientific.net/amm.58-60.1690.

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Supporters of life prediction claim that this technology can provide enormous benefits to users. Among so many performance indicators of life prediction technology, the accuracy and stability of life prediction is of greatest concern. This article compares advantages and disadvantages of various performance indicators in the prediction of product’s life between life prediction algorithm based on statistical and that based on degradation path model.
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Vutukuri, Praveen Kumar. "Quantifying Financial Risks in the Healthcare Claim Adjudication Process." INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT 08, no. 12 (2024): 1–6. https://doi.org/10.55041/isjem01314.

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Abstract –The claim adjudication process is crucial in healthcare organizations, involving the verification, approval, or denial of claims submitted by providers. Efficient adjudication is vital for ensuring accurate and timely reimbursements, minimizing financial risks, and maintaining positive relationships with both healthcare providers and policyholders. This paper presents a framework for quantifying financial risks associated with claim adjudication, including risks due to claim denials, overpayments, underpayments, fraud, operational inefficiencies, and several key risk categories like
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Sihabudin, Sihabudin, and Edo Adhitama. "HAK KREDITOR DENGAN TAGIHAN PIUTANG TERTOLAK DALAM PROSES PENUNDAAN KEWAJIBAN PEMBAYARAN UTANG." Arena Hukum 16, no. 1 (2023): 83–104. http://dx.doi.org/10.21776/ub.arenahukum.2023.01601.5.

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One of the stages in delaying payment of receivables obligations (PKPU) is the verification of receivables. There may be a possibility that the claim for receivables being rejected at the verification stage may occur, but there is no legal remedy that can be taken by the creditor, either ordinary or extraordinary legal remedies. This article aims to analyze the legal protection of creditors' receivables which are rejected at the receivables verification stage by administrators in the PKPU process and the authority of the supervisory judge in terms of the creditor's bill being rejected at the r
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Marsigli, Chiara, Elizabeth Ebert, Raghavendra Ashrit, et al. "Review article: Observations for high-impact weather and their use in verification." Natural Hazards and Earth System Sciences 21, no. 4 (2021): 1297–312. http://dx.doi.org/10.5194/nhess-21-1297-2021.

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Abstract. Verification of forecasts and warnings of high-impact weather is needed by the meteorological centres, but how to perform it still presents many open questions, starting from which data are suitable as reference. This paper reviews new observations which can be considered for the verification of high-impact weather and provides advice for their usage in objective verification. Two high-impact weather phenomena are considered: thunderstorm and fog. First, a framework for the verification of high-impact weather is proposed, including the definition of forecast and observations in this
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Ghambaryan, A. S., and Yu V. Airapetyan. "ADMISSION OF GUILT AND A CLAIM BY SILENCE IN CRIMINAL AND CIVIL PROCEEDINGS." Вестник Пермского университета. Юридические науки, no. 54 (2021): 754–65. http://dx.doi.org/10.17072/1995-4190-2021-54-754-765.

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Introduction: over the years, there have been made attempts to consider the category of legal silence in the framework of substantive and procedural law and to determine those legal consequences that arise in the absence or presence of silence. This article compares favorably with all previous developments in its breadth and fundamental nature of the research into the legal essence of silence from the point of view of admission of guilt and a claim in procedural law. Purpose: to carry out a historical and comparative analysis of silence on the basis of works of foreign and domestic procedurali
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