A newly announced procurement project, focused on AI-driven medical insurance fund anti-fraud supervision, has been scheduled with a substantial budget of 10.5334 million yuan. The project is slated for procurement around September 2026.

The core scope of this initiative includes the development of a dedicated data monitoring zone for insurance fraud detection, alongside the creation of an AI-powered big data monitoring model for anti-fraud efforts. Furthermore, the project entails building a supervision model for DRG payment patient groups and a pre-review platform to strengthen oversight mechanisms.

These applications are designed to provide artificial intelligence support for the city of Lvliang in its ongoing work to analyze medical insurance fraud through big data and to supervise DRG payment processes. The primary objective is to empower designated medical institutions to promptly identify suspicious or unreasonable usage of medical insurance funds, thereby enhancing both the efficiency of fund management and the level of intelligent oversight.

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