SAS: Before Claims Fraud, What About Eligibility Fraud?

“When thinking about the topic of fraud, waste and abuse in health care, everyone tends to think first about the integrity of the way the claim is presented – what’s typically referred to as claims fraud,” said Julie Malida, Principal in SAS’ Security Intelligence practice. “We want to shift the conversation to talk about whether your plan is actually covering the people you think you’re covering.”

Before claims are even filed, are you rigorous in determining eligibility? How often do you

Only users who have a paid subscription or are part of a corporate subscription are able to print or copy content.

To access these options, along with all other subscription benefits, please contact [email protected] or view our subscription options here:

You are currently unable to copy this content. Please contact [email protected] to find out more.

To continue reading...

You need to sign in to use this feature. If you don’t have a RiskTech Forum account, please register for a trial.

Sign in
You are currently on corporate access.

To use this feature you will need an individual account. If you have one already please sign in.

Sign in.

Alternatively you can request an individual account here: