Healthcare insurance is the need of the hour. With the second wave of the global pandemic hitting our country, it has become an immanent requirement to invest in health insurance.
Imagine if people would invest in the right health insurance policy at the right time, they would not need to run from place to place to be able to get treated properly in times of health crisis.
Even though healthcare is a basic necessity for individuals of all ages and classes, health insurance fraud and abuse is a common practice in our world. Many companies are involved in insurance fraud while individuals are no less when it comes to abusing the policies.
What is insurance fraud?
Fraud is an act of misrepresentation to make illegal gains by manipulating the insured person. Many companies nowadays are losing their decency and are involved in various fraudulent acts to make profits at the cost of the lives of their clients. A few examples of health insurance fraud include:
Fraudulent billing of medicines or medical supplies that were not used
Deceptive billing of medical services that were not availed
Using one medical service ID card to obtain medicines or get clinical services for the person who does not own the ID card
Billing a full prescription when only some of the prescription was put to actual use.
Invoicing a similar service for more than one time when it was only used once.
Abusing is the excessive use of the product or service as compared to the limit prescribed for the product or service by the authority. As we are all aware that the healthcare system is already collapsing and we have limited healthcare resources for an ever-growing population it should be noted that health insurance abuse can lead to avoidable costs for the healthcare system. Health insurance abuse is practiced in the following ways:
Overutilization of healthcare services by individuals
Getting lab tests done unnecessarily thus making its availability limited for the people who are in need. This trend has been observed widely in the recent pandemic throughout the country.
There is growing fraud and abuse witnessed in availing insurance policies, especially in the health segment. The Claim Consultants provide an instant claim settlement solution to their clients. By availing of their packages, one can save themselves from many traps of the insurance market. The Claim Consultant provides a cloud-based online portal where you may register and avail of their packages which save you from delayed or denied insurance claims or fraudulent practices of the insurance companies