Fraud risk poses a very big challenge for the insurance sector and Medical Aid fraud is certainly a big problem and it contributes to the overall cost of healthcare.
Thieves are hunting down your medical ID. They’re after your health-insurance number, Social Security number and other sensitive personal information. Scammers take over your medical ID. They line their pockets with false claims against your health policy. Your medical information can be stolen anytime in our wired world. It happens almost every day. Malware, hacks, phishing, smishing, vishing, spoofs and other digital tactics are doubling your danger. Defend your medical identity every way you can.
Phantom claims for services or supplies that were never provided
Using someone else’s medical insurance information to obtain services or supplies .
Falsifying signatures or medical records to support misrepresented services or supplies
Unbundling services from a group to unlawfully increase medical payment
Misrepresenting the location where services or supplies are provided
Rendering medical care without a license
Duplicate claim submissions