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Fact Based List:
6 Medical Aid Claim Fraud Hotspots
Submitted By Anonymous, Created 06/02/2016 - 12:35
- Doctors submit claims for services that have not been rendered to patients.
- Dispensing doctors and pharmacies provide members with low cost generic medicines and claim for higher cost brand name medicines.
- Doctors provide fraudulent sick notes to members and then claim for a consultation from the scheme.
- Pharmacies sell cosmetics and other “front shop” items to scheme members, and submit fraudulent claims for medicines to the scheme.
- Members, in collusion with doctors and hospitals, submit claims for false hospital admissions, in order to benefit from the claims payment.
- Members forge and submit claims for services supposedly rendered by healthcare professionals, but which were never actually rendered.
Source: Health24
Source URL: http://www.health24.com/Medical-schemes/News/revealed-discov...