Forti-Ins: A Blockchain Based Framework to Automate Healthcare Insurance Processing in Smart Cities

Abstract

Individuals with health insurance are protected from financial risk and have access to critical medical treatments. However, traditional healthcare insurance has issues such as complexity, availability, claim processing time, fraudulent claims, and double claims. These problems can lead to issues such as patient funds being held, lengthy claim processing, and fraudulent claims. The claim process is handled manually in order to verify each medical treatment, validate the claim, and ensure that it complies with the coverage policy. Significant advantages of an automated system for healthcare insurance procedures include a reduction in time, increased accuracy, and improved insurance service quality. However, the centralized nature of such systems may present vulnerabilities, such as a single point of failure, loss of transparency, and integrity. The proposed Forti-Ins system integrates blockchain technology, smart contracts, and a distributed file system to facilitate automated claim processing, prevent double claims, increase transparency, reduce administrative costs, and strengthen system robustness, all within a secure framework. Smart contracts facilitate the automated handling of healthcare insurance procedures in a secure manner, while distributed file systems provide cost-effective management of large volumes of files.