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Introduction The context is the 2016 public use NH medical claims files obtained from NH CHIS (Comprehensive Health Care Information System). The dataset contains Commercial Insurance claims, and a small fraction of Medicaid and Medicare payments for dually eligible people. The primary purpose of this assignment is to test machine learning (ML) …

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Nemshan/predicting-Paid-amount-for-Claims-Data

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predicting_Paid_amount_for_Claims_Data

Medical claims for 2016. it contains ~17 millions rows and ~60 columns of data, containing ~6.5 million individual medical claims. These claims are all commercial claims that were filed by healthcare providers in 2016 in the state of NH. These claims were ~88% for residents of NH and the remaining for out of state visitors who sought care in NH. Each claim consists of one or more line items, each indicating a procedure done during the doctor’s visit. Two columns indicating Billed amount and the Paid amount for the care provided, are of primary interest. The main objective is to predict “Paid amount per procedure” by mapping a plethora of features available in the dataset

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Introduction The context is the 2016 public use NH medical claims files obtained from NH CHIS (Comprehensive Health Care Information System). The dataset contains Commercial Insurance claims, and a small fraction of Medicaid and Medicare payments for dually eligible people. The primary purpose of this assignment is to test machine learning (ML) …

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