The healthcare sector is also bringing in digital transformation. This is to provide patients with better and remote services such as telemedicine. However, criminals simultaneously are using advanced methods to dodge the patient verification process and reap illegitimate benefits. They use patient identity theft and fake credentials for false insurance claims, make online payments, prescription fraud, and medical identity theft.
Healthcare centers and subsidiaries like pharmacies should employ accurate Know Your Patient (KYP) solutions. This will help them identify legitimate patients in minimal time by scanning their documents. The AI-enabled solutions further enable healthcare providers to access global databases. This eliminates the chances of fraudulent attempts. The blog sheds light on the major use cases of online patient verification solutions.
Top 5 Use Cases for Remote Patient Identity Verification
The healthcare sector stores the most delicate information, which once breached can bring lethal consequences. Therefore, regulatory authorities such as HIPAA mandate medicare centres to secure the information from external breaches. The digital patient verification solutions help healthcare centres to safeguard their operations, especially after technological transformation. Shufti Pro Funding indicates that these solutions enable medicare providers to identify patients and fraudsters in minimal time.
Digital solutions automate the verification process that minimizes chances of human error and streamlines the onboarding process. The system asks the patient to submit original documents and upload a real-time video or selfie. It then extracts the required information by using OCR technology and verify patient identity against global medical records. The next section covers the major use cases of online identity verification.
Prevents Medical Identity Theft
Healthcare centres were previously identifying patients manually which was a slow process and consumed high operational costs. However, with rapid digitization and remote assistance, traditional patient verification methods are no longer reliable. Medicare providers and pharmacies need robust less-time consuming solutions to draw a line between legit patients and fraudsters.
The AI-powered solutions help healthcare centres not only provide accuracy to the verification process but also pace it up. The system asks for original documents such as ID cards, driver’s licenses, insurance papers, medical records, and payment receipts. The cutting-edge technology then validates these documents and provides accurate patient verification.
Eliminates Prescription Fraud
Where regulatory authorities mandate hospitals to develop effective identity verification mechanisms, they also oblige pharmacies to take necessary steps and prevent prescription fraud. The AI-enabled ID verification for pharmacies tool provides robust identification while safeguarding minors. The system validates documents to verify patient identity and make sure they satisfy the requirement to buy Age-Oriented (AO) drugs.
Minors are using advanced methods to buy AO products from e-pharmacies. As per Shufti Pro News, criminals use them to commit prescription fraud and buy drugs leading to lethal addiction. For instance, authorities allow the use of cannabis for just making medicines but criminals use fake prescriptions to buy it otherwise. Therefore, pharmacies require patient verification solutions to assist legit customers and restrict minors’ access.
Ensure Minors’ Safety
In the UK, regulatory authorities mandate pharmacies in accordance with the regulations by General Pharmaceutical Council (GPhC), to perform patient age verification prior to selling any medicine. Minors use their elders’ credentials and payment methods to buy drugs from e-stores. Therefore, medicine e-stores need to incorporate digital Know Your Patient (KYP) solutions to ensure customers of the right age are making a purchase.
Mitigates Chances of Insurance Fraud
Patient information is the most sensitive data, manipulation of which will not only bring financial fallout but also drive healthcare providers to legal proceedings. The most prominent kind of fraud seen rising these days is false insurance claims. Criminals use the insurance details of legit patients and use them to fund their treatments.
This way they bypass the patient verification process and illegitimately get medical help. Therefore, hospitals and insurance should incorporate effective measures to identify patients and validate their insurance claims.
Reduces Reputational Damages
Criminals, if they succeed to access legit patients’ information, not only expose legit patients to unforeseen consequences but also bring reputation damages to the healthcare provider. Therefore, medicare centres require seamless solutions to verify patient identity and restrict fraudulent attempts.
Moreover, hospitals and other healthcare providers need to shield the patients’ information from external breaches. The AI-powered Know Your Patient (KYP) solutions enable medicare centres to access global databases for remote verification. Furthermore, they help them keep their records updated to prevent shortcomings.
In the wake of digitization, the healthcare sector is facing numerous problems like precipitation fraud, identity thefts, and much more. These calls for effective patient verification solutions to seamlessly deliver remote services. The AI-enabled tools are cost-effective, consume less time, and provide more accuracy. This makes them more reliable than the manual verification methods. The digital Know Your Patient (KYP) solution further safeguards the information and keeps records updated.