Checking medical invoices, done by every health insurance company, is a labor-intensive task. Both speed and quality of executing this task may be increased by the knowledge-based decision support system ACMI which we present in this paper. As the relevant regulations also contain various default rules, ACMI`s knowledge core is modelled using the answer set programming paradigm. It turned out that all relevant rules could be expressed directly in this framework, providing for a declarative and easily extendable and modifiable knowledge base. ACMI is implemented using the DLV system.
@InProceedings{kernisberner_et_al:DagSemProc.05171.4, author = {Kern-Isberner, Gabriele and Beierle, Christoph and Dusso, Oliver}, title = {{Modelling and Implementing a Knowledge Base for Checking Medical Invoices with DLV}}, booktitle = {Nonmonotonic Reasoning, Answer Set Programming and Constraints}, pages = {1--12}, series = {Dagstuhl Seminar Proceedings (DagSemProc)}, ISSN = {1862-4405}, year = {2005}, volume = {5171}, editor = {Gerhard Brewka and Ilkka Niemel\"{a} and Torsten Schaub and Miroslaw Truszczynski}, publisher = {Schloss Dagstuhl -- Leibniz-Zentrum f{\"u}r Informatik}, address = {Dagstuhl, Germany}, URL = {https://drops.dagstuhl.de/entities/document/10.4230/DagSemProc.05171.4}, URN = {urn:nbn:de:0030-drops-2610}, doi = {10.4230/DagSemProc.05171.4}, annote = {Keywords: Answer sets, default rules, health insurance, rule schemas} }
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