Medical agencies can help combat insurance fraud

Print This Post

19 November 2010


A leading UK medical evidence provider is calling on medical agencies to put “stringent measures in place” and to improve communications to combat insurance fraud.

Mobile Doctors, a Legal Futures Associate, has highlighted a global trend in which a growing number of fraudulent claims are made in the aftermath of road traffic accidents. Bogus medical reports using stolen information are used to generate exaggerated claims payouts from insurers, the company says.

It says that in Canada, a number of rehabilitation firms have been found guilty of stealing the identities of medical practitioners to forge medical reports, often sharing the profits with claimants. The claims are often made in “crash for cash” cases, with the fraudster controlling the entire claim.

In one case, 10 insurance companies identified false claims and documents in the name of a single occupational therapist, at a cost of C$174,000 (£107,000). The company that made the bogus claim was convicted and fined C$8,000.

The key to reducing high levels of personal injury fraud is effective communication between insurers, medical reporting firms and rehabilitation firms, says Mobile Doctors, along with selecting a medical reporting firm that is robust and reliable.


Leave a comment

* Denotes required field

All comments will be moderated before posting. Please see our Terms and Conditions

Legal Futures Blog

Three reasons why you should be more vigilant about the emails you send in 2018

Ben Mitchell DocsCorp

In December 2017, the Information Commissioner’s Office (reported that data security incidents between April and June 2017 had increased by 15% compared to the previous year. This is nothing new – data breaches have been on the rise for years. Yet law firms are often more concerned about protecting sensitive information from external threats than from a far more likely cause: human error. Human error was behind the forwarding of confidential plans from The Bank of England to The Guardian. The sender included the wrong recipient in the email and, ever since, autocomplete has been disabled and staff at the UK’s main financial regulator must now enter every single address manually.

January 17th, 2018