Fact Based List:

5 Ways Fraudsters Infiltrate Payers' Enrollment Data Using Stolen, Synthetic Identities

  1. Brokers collecting commissions by enrolling ineligible individuals
  2. Enrolling deceased individuals
  3. Enrolling fictitious individuals
  4. Sharing member insurance cards to obtain controlled substances
  5. Submitting enrollment information under multiple addresses

Source: Knock Know: Who's there? The critical question all health plans should be asking during the upcoming enrollment season. An mcol E-Brief, sponsored by LexisNexis Risk Solutions.
Source URL: http://mcol.com/LexisNexisEbriefMinimizeMemberFraudDuringEnr...