With Digitalization, the healthcare sector is one of the remunerative industries which are victims of identity theft fraud. AI in healthcare security issues is of great interest among the health facilitation centers. Under laws like the Health Information Portability and Accountability Act (HIPAA), various health sectors have been charged fines over violation of the health policies. To make the patient data protected the regulators enforce the health sectors to implement healthcare privacy and security policies, yet with the technology shifts, some loopholes are making patient identity vulnerable. With the increasing number of patient identity thefts, the department of health and social care provided the digital ID verification of pharmaceuticals in the United Kingdom to prevent fraud and to give the patient better services.
What is Patient Identity Theft?
Taking over the personal identity information (name, date of birth, security/identity number) of patients is termed patient identity theft. With time, this fraud is exponentially increasing, making difficulties for the medical businesses. The fraudster after taking over someone else’s identity can claim insurance rewards, come in for fake bills, and avail online prescriptions which eventually results in financial loss, and hence business workflow crumbles.
Importance of Know Your Patient
KYC is referred to as the defensive line for the healthcare business providing solutions to verify and identify the patients’ real identity and to deter the risk of fraud. Patients’ data security in healthcare is so vulnerable. To protect it, knowing about the patient is very necessary. Gathering all necessary information is the primary step to fight against the frauds such as identity theft, data breaches, and various other cybercrimes. The Know your patient process guarantees. The services like prescriptions, reports, drug supplies, etc. are provided to real patients without any delay.
KYC Workflow in Preventing Identity Theft Fraud
Breaching the hospital data to take over patients’ real identities is the most happening fraud by the imposters. After getting access to such sensitive information the imposter tends to do frauds which can put patients’ into severe problems. To overcome such situations online identity verification is done through the KYP process. Which enables only verified patients to get access to the medical facilities.
Steps Involved in KYP
- The patients’ are obliged to show the identity documents via selfie camera or webcam along with the face
- AI-Powered technology then extracts and verifies the information from the identity documents which were provided by the patient while signing. This ensures that the provided documents are real and also eliminates the risk of ID document fraud
- Further facial biometric verification is done to check the actual presence of the patient and to deter imposter activities such as wearing 3D masks or use of printed pictures to identify identities
- Age is verified using biometric verification services is also a great measure. Which allows the age oriented facilities such as prescription of certain drugs, only accessible to verified patients’
- Lastly, after verification, the patient is flagged as verified and can get medical facilitation as per needs.
Use case of KYP
Modernized problems need modernized solutions. Digitalized and innovative AI-Based know your patient solution is quite promising to eliminate the risk and threats laid by the fraudster. Whose outcomes are devastating for both medical businesses and patients’. With the help of KYP loopholes in health care, privacy and security are mitigated providing the medical sector a fraud-free space.
- Patients’ Data Seclusion
Regulators have provided a set of laws and regulations to the healthcare sector regarding patients’ data privacy. Ensuring patients’ data protection is the utmost priority in the medical sector. Such viable information must be monitored and vulnerabilities must be deterred. Compromising over data protection security leads to data breaches as well as fines are imposed on the health care centers.
- Minor Verification For Online Pharmaceutical Facilities
Keeping in mind the consequences of using age-restricted drugs, online pharmaceuticals are obliged to run an age verification process. To eliminate the risk of selling and usage of such drugs among minors via illicit channels. Through a customer-oriented KYP verification system, such online fraud is put to stop.
- Insurance Scams
Once the fraudsters gain access to the private information of patients, they can exploit it in many ways to commit fraud. Health insurance is also one of the victims of identity theft fraud. The fraudster hiding under other patients’ identities can easily claim the high valued insurance rewards. Which result in a financial loss for the health sector. KYP acts as a life savior for health centers by deterring such fraud.
AI in healthcare security issues is the better gateway to prevent the medical sector from cyberattacks. Patient verification solutions are of great interest in the healthcare business. Which effectively eliminates the risk of identity theft, patient data breaches, insurance, etc frauds. Thus providing the AI-based solution the healthcare business risks are reduced while patient experience is increasingly timely.