An Intelligent AI/ML Framework for Secure Healthcare–Finance Data Integration and Fraud Prevention in Clouds

Authors

  • Suchitra Ramakrishna Independent Researcher, Wales, United Kingdom Author

DOI:

https://doi.org/10.15662/IJRAI.2023.0606020

Keywords:

AI/ML, Fraud Prevention, Healthcare–Finance Integration, Cloud Computing, Secure Data Integration, Anomaly Detection, Cybersecurity

Abstract

The rapid adoption of cloud computing in healthcare and financial ecosystems has significantly improved data accessibility and interoperability, while simultaneously increasing exposure to fraud, data breaches, and compliance risks. This paper proposes an intelligent AI/ML-based framework designed to enable secure data integration and proactive fraud prevention across interconnected healthcare and finance cloud environments. The proposed framework leverages advanced machine learning algorithms for anomaly detection, predictive risk analysis, and real-time fraud identification, while incorporating encryption, access control, and secure data exchange mechanisms to ensure confidentiality and regulatory compliance. By integrating heterogeneous healthcare and financial datasets through interoperable cloud services, the framework enhances transparency, reduces fraudulent activities, and improves decision-making efficiency. Experimental analysis demonstrates improved fraud detection accuracy, reduced false positives, and scalable performance across distributed cloud infrastructures. The proposed approach offers a robust, secure, and intelligent solution for next-generation healthcare–finance cloud systems.

References

1. Bolton, R. J., & Hand, D. J. (2002). Statistical fraud detection: A review. Statistical Science, 17(3), 235–255.

2. Armbrust, M., et al. (2010). A view of cloud computing. Communications of the ACM, 53(4), 50–58.

3. Ngai, E. W. T., et al. (2011). Data mining techniques in financial fraud detection. Decision Support Systems, 50(3), 559–569.

4. Baesens, B., et al. (2003). Benchmarking classification algorithms for fraud detection. Journal of Operational Research Society.

5. Adari, V. K. (2021). Building trust in AI-first banking: Ethical models, explainability, and responsible governance. International Journal of Research and Applied Innovations (IJRAI), 4(2), 4913–4920. https://doi.org/10.15662/IJRAI.2021.0402004

6. Udayakumar, R., Joshi, A., Boomiga, S. S., & Sugumar, R. (2023). Deep fraud Net: A deep learning approach for cyber security and financial fraud detection and classification. Journal of Internet Services and Information Security, 13(3), 138-157.

7. Archana, R., & Anand, L. (2023, May). Effective Methods to Detect Liver Cancer Using CNN and Deep Learning Algorithms. In 2023 International Conference on Advances in Computing, Communication and Applied Informatics (ACCAI) (pp. 1-7). IEEE.

8. Md Al Rafi. (2022). Intelligent Customer Segmentation: A Data- Driven Framework for Targeted Advertising and Digital Marketing Analytics. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 5(5), 7417–7428.

9. Mani, K., Paul, D., & Vijayaboopathy, V. (2022). Quantum-Inspired Sparse Attention Transformers for Accelerated Large Language Model Training. American Journal of Autonomous Systems and Robotics Engineering, 2, 313-351.

10. Pichaimani, T., Gahlot, S., & Ratnala, A. K. (2022). Optimizing Insurance Claims Processing with Agile-LEAN Hybrid Models and Machine Learning Algorithms. American Journal of Autonomous Systems and Robotics Engineering, 2, 73-109.

11. Praveen Kumar Reddy Gujjala. (2022). Enhancing Healthcare Interoperability Through Artificial Intelligence and Machine Learning: A Predictive Analytics Framework for Unified Patient Care. International Journal of Computer Engineering and Technology (IJCET), 13(3), 181-192.

12. Goodfellow, I., et al. (2014). Generative adversarial networks. NeurIPS.

13. Soundarapandiyan, R., Krishnamoorthy, G., & Paul, D. (2021, May 4). The role of Infrastructure as code (IAC) in platform engineering for enterprise cloud deployments. Journal of Science & Technology. https://thesciencebrigade.com/jst/article/view/385

14. Nagarajan, G. (2022). Advanced AI–Cloud Neural Network Systems with Intelligent Caching for Predictive Analytics and Risk Mitigation in Project Management. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 5(6), 7774-7781.

15. Kipf, T. N., & Welling, M. (2017). Semi-supervised classification with graph convolutional networks. ICLR.

16. Chandra Sekhar Oleti. (2022). Serverless Intelligence: Securing J2ee-Based Federated Learning Pipelines on AWS. International Journal of Computer Engineering and Technology (IJCET), 13(3), 163-180. https://iaeme.com/MasterAdmin/Journal_uploa ds/IJCET/VOLUME_13_ISSUE_3/IJCET_13_03 _017.pdf

17. Muthusamy, M. (2022). AI-Enhanced DevSecOps architecture for cloud-native banking secure distributed systems with deep neural networks and automated risk analytics. International Journal of Research Publication and Engineering Technology Management, 6(1), 7807–7813. https://doi.org/10.15662/IJRPETM.2022.0506014

18. Navandar, P. (2023). The Impact of Artificial Intelligence on Retail Cybersecurity: Driving Transformation in the Industry. Journal of Scientific and Engineering Research, 10(11), 177-181.

19. Sandeep Kamadi. (2022). Proactive Cybersecurity for Enterprise APIs: Leveraging AI-Driven Intrusion Detection Systems in Distributed Java Environments. IJRCAIT, 5(1), 34-52.

20. Vasugi, T. (2022). AI-Enabled Cloud Architecture for Banking ERP Systems with Intelligent Data Storage and Automation using SAP. International Journal of Engineering & Extended Technologies Research (IJEETR), 4(1), 4319-4325.

21. Jurgovsky, J., et al. (2018). Sequence classification for financial fraud detection. Expert Systems with Applications, 100, 234–245.

22. Kumar, R., Al-Turjman, F., Anand, L., Kumar, A., Magesh, S., Vengatesan, K., ... & Rajesh, M. (2021). Genomic sequence analysis of lung infections using artificial intelligence technique. Interdisciplinary Sciences: Computational Life Sciences, 13(2), 192-200.

23. Christadoss, J., Sethuraman, S., & Kunju, S. S. (2023). Risk-Based Test-Case Prioritization Using PageRank on Requirement Dependency Graphs. Journal of Artificial Intelligence & Machine Learning Studies, 7, 116-148.

24. Abdallah, A., et al. (2016). Fraud detection systems: A survey. Journal of Network and Computer Applications, 68, 90–113.

25. Adari, V. K. (2020). Intelligent Care at Scale AI-Powered Operations Transforming Hospital Efficiency. International Journal of Engineering & Extended Technologies Research (IJEETR), 2(3), 1240-1249.

26. Meka, S. (2022). Streamlining Financial Operations: Developing Multi-Interface Contract Transfer Systems for Efficiency and Security. International Journal of Computer Technology and Electronics Communication, 5(2), 4821-4829.

27. Udayakumar, R., Chowdary, P. B. K., Devi, T., & Sugumar, R. (2023). Integrated SVM-FFNN for fraud detection in banking financial transactions. Journal of Internet Services and Information Security, 13(3), 12-25.

28. Kusumba, S. (2023). Achieving Financial Certainty: A Unified Ledger Integrity System for Automated, End-to-End Reconciliation. The Eastasouth Journal of Information System and Computer Science, 1(01), 132-143.

29. Harish, M., & Selvaraj, S. K. (2023, August). Designing efficient streaming-data processing for intrusion avoidance and detection engines using entity selection and entity attribute approach. In AIP Conference Proceedings (Vol. 2790, No. 1, p. 020021). AIP Publishing LLC.

30. Van Vlasselaer, V., et al. (2015). APATE: A novel approach for automated fraud detection. Decision Support Systems, 75, 38–48.

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Published

2023-11-15

How to Cite

An Intelligent AI/ML Framework for Secure Healthcare–Finance Data Integration and Fraud Prevention in Clouds. (2023). International Journal of Research and Applied Innovations, 6(6), 9942-9948. https://doi.org/10.15662/IJRAI.2023.0606020