Blockchain-Integrated Privacy-Preserving Medical Insurance Claim Processing Using Homomorphic Encryption

TL;DR

This paper introduces a novel framework combining blockchain and homomorphic encryption to enhance privacy, security, and transparency in medical insurance claim processing, reducing risks and automating procedures.

Contribution

The study presents an innovative integration of blockchain and homomorphic encryption for privacy-preserving, transparent, and efficient medical claim management systems.

Findings

Enhanced privacy protection for patient data during claim processing

Automated claim adjudication using smart contracts

Reduced manual errors and fraud risk in claim workflows

Abstract

This research proposes a decentralized and cryptographically secure framework to address the most acute issues of privacy, data security, and protection in the ecosystem of medical insurance claim processing. The scope of this study focuses on enabling the management of insurance claims in a transparent, privacy-protecting manner while maintaining the efficiency and trust level needed by the patients, healthcare providers, and insurers. To accomplish this, the proposed system adds blockchain technology to provide an unchangeable, decentralized, and auditable claim transactions ledger which enhances overall claim-related processes and trust among all stakeholders. To protect critical patient information, the framework employs homomorphic encryption a modern form of cryptography to allow authorized insurance providers to perform necessary operations like claim adjudication and reimbursement on encrypted medical records without any decryption during the process. This method significantly reduces the third-party processing privacy risk because patient data can be kept secret even when third-party processing is done. In addition, smart contracts improve automation of the most important procedures in the claim processing pipeline, which decreases manual, operational, and susceptibility towards human blunders or deceitful acts. The integration of these two transformative technologiesblockchain and homomorphic encryption represents the core contribution of this work, enabling the coexistence of transparency and privacy which are usually viewed as competing objectives in traditional systems. As a result, these technologies are expected to foster the creation of a reliable, effective, and privacy safeguarding architecture that could transform the medical claim submission systems paradigm.