Dental
Insurance fraud is a part of
the health insurance fraud, in which people play tricks with health
insurance companies and force them to make payment for false bills.
Dental insurance fraud is the way of extracting money from the
insurance company
through illegal manners like misrepresenting of information,
concealing the real identity of person, wrongly exaggerating medical
bills and many more. It is becoming a big problem which is affecting
health insurance companies in India.
Below are termed as Dental Insurance Frauds-
• Preparing medical bills for such services which were never availed.
• Misrepresentation of the facts about the actual treatment to earn profits.
• Misrepresentation of treatment dates to get unduly advantage.
• Citing wrong information about the teeth numbers, in an attempt to earn profits.
• Billing health insurance company more for a service than what is actually incurred during the treatment.
• Falsifying information about the diagnosis to get payment for those services which do not come under the purview of health insurance policy.
• Misrepresenting treatment and your financial status.
• Claiming for bills of cosmetic services which are performed by unauthorized individuals.
• Withholding the real identity of patients, policy subscribers.
• Unauthorizedly using the dental insurance of another individual.
• Covering such persons in your policy which are actually not covered by the dental policy.
Effects of Dental Insurance Fraud-
The main effect is that it raises the amount of money which the insurance company should pay, to settle all claims. On the other hand, insurance companies compensate this by increasing premium or by curtailing services.
Below are termed as Dental Insurance Frauds-
• Preparing medical bills for such services which were never availed.
• Misrepresentation of the facts about the actual treatment to earn profits.
• Misrepresentation of treatment dates to get unduly advantage.
• Citing wrong information about the teeth numbers, in an attempt to earn profits.
• Billing health insurance company more for a service than what is actually incurred during the treatment.
• Falsifying information about the diagnosis to get payment for those services which do not come under the purview of health insurance policy.
• Misrepresenting treatment and your financial status.
• Claiming for bills of cosmetic services which are performed by unauthorized individuals.
• Withholding the real identity of patients, policy subscribers.
• Unauthorizedly using the dental insurance of another individual.
• Covering such persons in your policy which are actually not covered by the dental policy.
Effects of Dental Insurance Fraud-
The main effect is that it raises the amount of money which the insurance company should pay, to settle all claims. On the other hand, insurance companies compensate this by increasing premium or by curtailing services.
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