Reckoner for health risk and insurance premium using adaptive neuro-fuzzy inference system

The paper demonstrates an efficient use of intelligent system for solving the classification problem in the sector of health insurance. A model based on adaptive neuro-fuzzy inference system (ANFIS) is proposed to deal with the fuzziness in the real-life environments. This approach enables the interpretation of majority of health factors of an insurance seeker through a set of fuzzy rules to determine the degree of risk to an individual. A fuzzy neural network has been trained with fuzzy inputs like age, occupation, family size, smoking habits, drinking habits, diabetes history, heart disease and other relevant inputs of individual for risk calculation. The model gets importance in health insurance sector because risk determination is fuzzy in nature, and fuzzy calculations are done more accurately by machines rather than human beings especially for the problems which are repetitive in nature and have large number of vague parameters. The proposed model can help the insurance seeker to identify the degree of risk he is having if he is not taking health insurance. This serves a dual purpose of attracting the insurance seeker to acquire the insurance and facilitate generating business to insurance company. Indicative results are presented and discussed in detail in terms of accuracy and solution interpretability.