Massive adoption of technology is observed in the healthcare industry after the covid-19 outbreak. The evolution in technology has resulted in innovations that are widely being used in medical facilitation centers. Like other businesses, healthcare is also prone to digitalization. The use of AI technology in the medical domain is assisting in their operation ranging from proving online prescriptions to automated surgeries. The SaaS health products are also increasing the credibility of the health center by increasing the security measure as well as eliminating the risks of medical fraud. Criminal activities and sensitive data breaches are rapidly increasing in the medical industry, in the year 2020 almost 29 million data breach cases were reported. This was the point where the healthcare businesses started to adopt automated solutions to secure their reputation as well as to fight a war with the fraudsters.
Medical Identity Theft- Disrupting Healthcare Industry
The fraudster that steals the patients’ health credentials or makes synthetic identities to run their suspicious activities is referred to as patient identity fraud. Mostly the criminal steals the patients’ identities to avail free online health services, get access to digital drug prescriptions, claiming false insurance benefits just for their own personal gains.
The consequence of patient identity theft is worse for both customers as well as healthcare providers. The patient’s life is at stake whereas the business credibility is also questioned.
Patient Identification – The Process
Patient identity verification works the same as the simple identity verification process. This procedure is done whenever the patient tends to get registered onto the health portal or requires to get drugs digitally.
- Patients are requested to upload the images of government-issued identity documents using the smartphone camera or webcam.
- The patient has to capture the live selfie which generates 3D facial feature mapping.
- The provided identity documents are validated by checking their originality. This is done by matching the 3D face map with the photo placed in the documents.
- Age verification is also done by authenticating the information placed in the documents such as date of birth and name.
- Next, AML screening is performed in order to determine the involvement of the patient in any kind of criminal activity.
- After a set of KYP checks, the health care platforms grant access to the patients on the basis of verification results.
Use Cases of KYP
The technological revolution paves the gateways to developing innovative SaaS products which can assist humans. Know your patient verification services play a viable role to conduct online identity verification successfully. This solution includes biometric technology by which it’s impossible to bypass the authentication process.
This is considered to be a cost-friendly service that is capable of combating identity fraud. Therefore, the healthcare sector is obliged to implement such solutions to provide secure and trustworthy services to the patients.
Medical Data Privacy
The health regulators such as the health portability and accountability act have developed various standards and policies regarding the privacy of the patient’s sensitive data. So every healthcare institution is obliged to employ this set of standards on a serious note. Moreover, the patients’ activities should be thoroughly monitored to filter out suspicious activities to avoid the risk of data breaches which would be alarming in the future.
The businesses which tend to deal with Protected Health Information are obliged to adopt technology-driven systems as well as to take measures to secure patient-sensitive information. Otherwise, non-compliance results in hefty fines and bans.
Age Verification for Online Drug
Digital pharmacies are obliged to determine the originality of the patients’ identity before shipping drugs via digital channels. Age verification plays a viable role in sustaining the online pharmacies and hospital portals to provide age-oriented services as well as drugs. The platforms which intend to provide age-oriented drugs have to incorporate the proper set of age verification standards.
Overcoming Insurance Frauds
Healthcare data breaches are adversely impacting the medicare industry. The sensitive data includes the information regarding the patient’s identity and health insurance which in case of breach it will result in financial loss for the patient as well as the credibility of the hospital is also damaged. Moreover, the criminals use the data for claiming health insurance, availing the services of online prescriptions, and enjoying medical facilities by hiding under legitimate patients. Identity theft pours negative effects, and tempering of patient information can cause ambiguity in medical history and payment records.
Final Thoughts
Wrapping it up, the medical care business has become the target of criminal activities, and protecting the healthcare sector from suspicious activity incorporating know your patient KYP verification solution is an hour of need. The pandemic outburst has also increased the challenges to ensure utmost security which is also one of the reasons for the rapid increase of medical fraud. Therefore, it’s a regulatory obligation to implement the KYP solution to fight a war with fraudsters.
