A comprehensive and modern Hospital Information Management System designed to streamline operations, integrate with insurance providers, and detect fraudulent activities using machine learning.
- 🔐 User Authentication: Secure login.
- 🏥 Patient Management: Registration, record tracking, history, appointments, and discharge summaries
- 💊 Pharmacy & Inventory: Track medication stock and automate alerts
- 💼 Billing & Payments: Auto-generate invoices and integrate with payment gateways
- 🧾 Insurance Integration: Real-time communication with insurance providers for claim processing and validation
- 🤖 Fraud Detection: Apply machine learning models to detect anomalies in patient records and insurance claims
A supervised learning model is trained on historical claim data to:
- Detect patterns associated with fraudulent claims
- Flag suspicious records in real-time
- Provide explainable insights using model interpretability techniques
The system is interfaced with an external insurance provider through secure APIs:
- OAuth2 for secure authentication
- Claim submission, verification, and status tracking
- JSON-based data exchange
- Logs and audit trail for all transactions
Frontend: React.js / Tailwind CSS
Backend: Django
Database: PostgreSQL
ML Model: TensorFlow
APIs: RESTful APIs with JWTauthentication
Hosting: Github pages (frontend) | Render (backend & ML model)