Yisong Chen¹ and Chuqing Zhao², ¹Georgia Institute of Technology, US, ²Harvard University, US

This paper examines blockchain's role in health insurance, particularly in fraud prevention, claims processing, and data security. By integrating blockchain with AI and IoT, we highlight its potential to enhance transparency, automation, and interoperability. Key findings demonstrate improvements in fraud detection, regulatory compliance, and operational efficiency, while challenges such as scalability and regulatory alignment remain. This study underscores blockchain's transformative impact on building a secure, efficient, and patient-centric health insurance system.

Blockchain, Health insurance, Fraud detection, Claims processing, Data security, Automation, Interoperability, Smart contracts, Hybrid blockchain, Scalability, Patient-centric systems