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How To Combat Fraud
CNBC.com | September 12, 2011 | 10:35 AM EDT

Sneed of BCBSA says another form of health-care fraud that is on the rise is medical identity theft. In “a down economy like we’ve had for the past couple of years," people who can’t afford health-care benefits are resorting to fraudulent measures, he says. While some individuals trade off their medical identity, others participate in identity sharing.

The NCHAA's Saccoccio says one way to circumvent this type of fraud is by asking to see a second form of identification at the time the card is presented.

“Also, in the technologically ubiquitous world we live in, you have bad guys who are looking to get their hands on a long list [of insureds] and submit claims for large sums of money,” Sneed explains.

Saccoccio of the NCHAA urges consumers to protect their health-care information or Medicare card just like they would a Social Securitynumber or a credit card. He also advises individuals to not disclose any information over the telephone unless they have no doubt about the identity of the person to whom they are speaking.

“Every time you get an explanation of benefits , EOB, take a look at it. Make sure the information on them is accurate and that the date of service is actually the date of service and that the service was the one provided to you,” Saccoccio says. “If you find something that is incorrect, call your insurance company.”

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