Online Patient Verification – Effective Ways to Prevent Medical Scams 

patient verification

Identity fraud, scams, and illegitimate customer onboarding are the main problems every industry is facing because of rapid digitization. Criminals use fake information and case histories to avail medical benefits. For instance, insurance-backed surgeries, illegitimate healthcare benefits, and prescription fraud. Falling under this is the minors’ access to online healthcare platforms. They use their elders’ details to order drugs that are age-restricted. 

Therefore, the healthcare sector needs accurate patient verification solutions to ensure they are providing treatment and services to the right entities. Moreover, it is mandatory for healthcare providers to keep their patients’ records secure and protect their privacy. For this, they should incorporate Know Your Patient (KYP) services. More use cases and applications of KYP checks are covered in this blog. 

Patient Identity Verification – Prominent Use Cases

The world is going completely digital which is compelling the industries to follow and introduce online operations. In this process, the healthcare sector is dramatically experiencing criminal threats like prescription fraud and identity theft. Statistics from the National Health Care Anti-Fraud Association show that medical scams cost over $68 billion annually. 

Keeping in view this rise in cases, regulatory authorities are revamping strict Know Your Patient regulations. These include accurate verification of identities and keeping the records upgraded. Therefore, the healthcare centers and other providers need accurate verification solutions. Below are the prominent use cases of these services. 

Prevention of Medical Identity Fraud

The Healthcare sector deals with the most crucial information. If they face branches it can lead to lethal consequences. Medical identity fraud is putting various question marks on the authenticity of the healthcare sector. Criminals use the information of legitimate patients to camouflage their identities and reap benefits like insurance and costly treatments. 

Moreover, according to Shufti Pro News, they misuse payment details and purchase age-restricted drugs. Therefore, healthcare centers need to be sure that why providing treatment and services to deserving patients. This way they can minimize the chances of hefty non-compliance penalties. 

Comply with HIPAA Standards

Regulatory authorities are enforcing strict regulations in the healthcare sector. These include patients’ age verification alongside their identities. The regulations include HITECH, HIPAA, and CLIAA. According to the Health Insurance Portability and Accountability Act (HIPAA), the healthcare sector should better handle the patients’ data and medical records. 

For this, they should provide increased security and privacy to patients while shieling their databases. Moreover, healthcare providers dealing with Protected Health Information (PHI) need to ensure that they verify patient identity at the time of registration. If healthcare providers fail to comply with these regulations, they will have to face hefty fines. Therefore, the healthcare sector needs to employ robust verification solutions to assist legitimate patients and eliminate the chances of fraudulent attempts. 

Age Verification Prior to Selling Medicines

Age verification is another obligation for the healthcare sector. Due to digitization, healthcare providers are shifting to online assistance. This includes online consultancy, check-ups, and prescribing medicines. However, minors’ access to these platforms has become easier which increases the chances of prescription fraud. Minors use their elders- credentials and credit card details to purchase AO drugs. Healthcare providers having accurate ID verification for pharmacies in place are less face this threat. 

Moving on, misuse of prescription give rise to various consequences including drug addiction and excessive intake of harmful medicines. This will ultimately lead to lethal consequences. Therefore, Shufti Pro Funding indicates that the healthcare sector requires authentic patient identity checks to ensure no minor is accessing the healthcare facilities. 

Reduction in Medical Information Discrepancies 

Inaccuracies in medical records are another life-threatening concern the healthcare sector faces. In the case of traditional entries, human error is prevalent which leads to inaccurate data entry. These discrepancies can lead to lethal consequences. For instance, inappropriate treatments and insurance allocation. Healthcare providers with outdated records are more likely to treat a diabetic patient with inaccurate treatment. 

Therefore, the healthcare sector needs to incorporate authentic mechanisms to verify patients and keep their records up-to-date. Moreover, these AI-driven solutions provide accuracy while safeguarding the information of patients. 

In Summation

Criminals often use fake information to camouflage their identities and apply for illegitimate medical benefits. They do this to either pay for their costly treatments or reap insurance benefits. Therefore, the healthcare sector and all its affiliates should accurately verify patient identities. According to the regulations, healthcare centers should employ Know Your Patient checks to keep their legitimate patients’ information secure. Also, they should keep track of changes within the medical records of patients. Here, the AI-powered verification solutions enable healthcare centers to access global databases. This way healthcare providers can ensure that they are facilitating legitimate patients. 

Leave a Reply