Identifying fraud is one thing but dealing with it is another. Find out what could happen to you in future if you submitted a false medical claim via Bhekisisa_MG.
estimated to be over R100 million, the government news agency SAnews reported on Monday.
Discovery Health uses a case management system that gives them insights into their members’ claim trends. Based on these trends, Discovery is able to pick up on suspicious activity. Their system has led to R2-billion in direct savings; since 2013, it has helped the scheme to recover more than R5-billion.
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