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Medical Fraud is on the Rise

August 19, 2016 |
in Blog
Written by

Following an undercover operation by police, three men, including a doctor, were arrested in Miami for illegally billing an insurance company for patients who never were treated. 

“This goes on all the time,” the individual working undercover as the patient explained. “To be honest, this type of behavior has reached epidemic proportions. It’s happening all over the country and affecting everybody and everything, including insurance rates.”

While there are many types of insurance fraud—ranging from the above example to staged car accidents—there’s a more subtle type of fraud occuring. Failure to divulge prior injuries and repeated claims for the same injury cost insurance companies millions of dollars every year. It also raises the rates as much as the more blatant cases previously mentioned.

For example, one of the nation’s biggest retailers is sued two to five times a day. That’s right—a day! I’m fairly certain many of those people actually suffered some type of injury. Many, however, are viewing the retailor as an easy mark because of its size.

With the help of positive identifiers, we find all the addresses a claimant has reported. Then we can search area hospitals and MRI facilities. These are the most common places for ER treatment and MRI studies ordered by physicians, including chiropractors.

While we don’t obtain actual privacy-protected medical information, we can determine when and where the subject was treated. Then records can be ordered with a release or subpoena. We also can tie these treatment dates to other accidents we found through Department of Motor Vehicle records and other sources.

So don’t settle that claim until you let Inter-Facts level the playing field! Our privacy compliant hospital canvas is the most accurate in the business.

 

Look Out for Bogus Background Investigations

The term “Background Investigations” is probably one of the most misunderstood phrases since the emergence of the Internet. Just type it into any search engine and see what comes up. Paid ads top the list. Some say you can have a background investigation performed for $20. Others claim to rate background investigation sites.

While many of these sites are legitimate, others perpetuate the myth that there’s a crystal ball in cyber space with all the information you need to know about anyone—all for $20! Some boast flashing colors, sliding graphics and warnings about the “confidential” information you’re about to receive or even claim to reveal arrest records.

Don’t be duped by these misconceptions!

Who Do You Trust?

True background investigations require an investigator who knows where and how to look for the information.

The first thing you need is a positive identification. That’s easier said than done. Try running the name Joe Smith through one of those “crystal ball” sites. Even if you know what city he lives in, you won’t be able to positively identify him. If you can provide a licensed investigator with a date of birth or at least an address, they can verify the identity through databases available only to them. These databases combine public records and the reported address information from credit reporting agencies. Please note: Confidential credit information is not available to investigators.

Once the subject is positively identified, the investigator can review the address history to determine where to look. Typically, the most important information can be found in courthouses.

The majority of flashy background sites boast criminal records as being most important. That’s not necessarily true. While it’s good to know if the subject of your background investigation is a felon, a wealth of information can be found in misdemeanor, civil and family courts.

These types of records tell a lot about your subject, including whether:

  • felony cases were pled down to misdemeanors;
  • they have a history of civil litigation;
  • they were sued by landlords, credit companies or medical providers;
  • they were divorced, maybe multiple times;
  • there was a record of domestic abuse or failure to pay child support; and/or
  • they filed bankruptcies, maybe multiple times.

Oftentimes people are involved in many types of these cases as the victim. They may be charged or sued, even when they’ve done nothing wrong.

A licensed Investigator can evaluate these cases and tell you in more detail if the subject has been creating their own problems. Know that whether you’re right or wrong, if you’ve been accused of something you must answer your accuser.

The Personal Touch

We’re committed to protecting our clients. Our private investigators bring a human element to your search, unlike the faceless online providers who promise an "instant" background check. They have the resources and know-how to compile the most accurate, up-to-date background reports. 

 

Inter-Facts Services

November 14, 2015 | Written by

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Case Request Form

November 14, 2015 | Written by

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.

Background Checks

November 14, 2015 | Written by

Once you discover the truth about MOST national background checks websites, you’ll want to work with investigators who provide a complete picture of your claimants.


BackgroundChecksPageImageThe following three myths can trip up your background checks and hinder your insurance fraud cases. Here are the facts about background check websites.

MYTH #1:  Criminal history background checks are simple.  Just use the Internet database services.   

FACT:  Those inexpensive online database services only scratch the surface.  Their machines provide names and addresses, but nothing more. And there’s no one reviewing the accuracy or relevancy of your results.  

When you need  a background check that provides enough relevant information to determine whether or not a claimant is committing insurance fraud, you need someone to dig deeper and get the whole picture.  That’s what we do.   

MYTH #2:  Background checks and criminal record reviews can be done by any online investigation company.  

FACT:  Not all insurance investigation experts are the same.  When you check around, you’ll find that very few will promise to go the extra mile for you.  

For example, we go to courthouses across the country, looking at physical court records to find convictions and charges.  We may uncover a clue that others simply wouldn’t find.  Plus we scour civil records to pinpoint any patterns of behavior, financial troubles or employment issues that support your case.  And when needed, we can conduct a medical background check as well.  This approach is standard with us.   

MYTH #3:  Background check websites that scream the loudest do the best job.   

FACT:  This one is definitely not true.  The fact is, when you need a professional investigator who will focus on your specific case and get the job done, you don’t need someone pointing and shouting and flashing big promises at you.  

You just need to know there’s a reliable investigator in your corner, working diligently to solve your case.


Count on us to get you the complete background check and criminal records information you need, in a professional and discreet manner, so you can close your fraud case.

Biographical Affidavits

November 14, 2015 | Written by

Inter-Facts Inc. is an NAIC-approved Independent Third Party with many years of experience in conducting background investigations for the insurance industry in all 50 states, as well as internationally.  We have a network of experienced, licensed Senior Investigators well versed in current NAIC guidelines and state-specific requirements.


BiographicalAffidavitPageIconInter-Facts verification is a simple process:

  • Upload copies of the signed and notarized Biographical Affidavits through our upload link, or mail to our Antioch office. Please indicate the state(s) to which you are applying.  (Your original affidavits should be sent directly to the state authorities.)
  • Our investigators conduct background research, including financial inquiries if required, within 1 to 2 weeks of receipt of your affidavits.
  • Verification reports are sent directly to the state authorities.  Copies of the reports will be forwarded to you via a secure file sharing service.

Most states accept reports created within the last 6 months.  If you need to submit to additional states within that time, charges will be adjusted accordingly.

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Inter-Facts Affiliations

NALILogoNational Association of Legal Investigators : Formed in 1967 for legal investigators actively engaged in negligence investigations for the plaintiff and/or criminal defense. 

  

NCISSLogo

The National Council of Investigation and Security Services: The National Voice of the Private Investigation & Security Profession  

 

NSPIILogo

The National Society of Professional Insurance Investigators : Providing recognition, encouragement, and support to individuals who demonstrate the highest degree of professionalism in conducting insurance investigation.