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Awareness key in benefits fraud detection and prevention

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Dave Patriarche:

Great information, but so much more needs to be done. With hundreds of millions of dollars of paramedical and equipment fraud in just the GTA alone, nowhere near enough is happening at the insurer level to stop it.

One solution could be providing examples of fraud every time a claim is submitted. Another alternative could be a pop-up warning when a claim is electronically submitted saying something like…

“If you did NOT receive the medically necessary service or equipment for which you are claiming, you may have your employment terminated and fraud charges filed”.

A rotating set of these could make people think twice and the insurers can easily provide this reminder.

Friday, April 26 at 3:34 pm | Reply

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