The Health Insurance Counter Fraud Group (HICFG) is to launch a new system which will enable participants to share intelligence on doctors and hospitals as well as information on fraudulent customers, insurance brokers and employees.
According to HICFG, it will simultaneously represent the eleven main bodies in the British private medical insurance market. HICFG says that healthcare fraud includes insurance providers billing for services that were not carried out, upcoding (charging for more complex services than were actually delivered), unbundling (charging for the same service several times and hiding it behind medical jargon) and misrepresentation of facts.
Nick Starling, the ABI’s director of general insurance and health, said: ” Insurers are determined to crack down on fraud across the industry. This initiative will help to reduce fraud in the health insurance sector. It is honest customers who end up paying for the dishonesty of others, which is why we are taking the issue so seriously.”