WJPR Citation New

  All Since 2019
 Citation  7475  4312
 h-index  28  21
 i10-index  197  83

Login

Best Paper Awards

World Journal of Pharmaceutical Research (WJPR) will give best paper award in every issue in the form of money along with certificate to promote research activity of scholar.
Best Paper Award :
Dr. Dhrubo Jyoti Sen
Download Article: Click Here

Search

Track Your Article

Abstract

THE COMMON TYPES OF HEALTH INSURANCE FRAUD AMONG INSURED AND HEALTHCARE PROVIDER

*Prof. Dr. Sharifah Ezat Wan Puteh and Abdulaziz Abdullah Al Salem

Abstract

Insurance fraud ranks second only to tax evasion as the costliest whitecollar crime in America. The main motive in health insurance fraud is financial profit. Insurance contracts provide both the insured and healthcare provider with opportunities for exploitation. In health insurance, fraud‚ false or misleading information is provided to a health insurance company in an attempt to have them pay unauthorized benefits to the policy holder‚ another party‚ or the healthcare provider. The offense can be committed by the insured or the provider of health services. The review result shows that the health insurance fraud has a negative effect on the annual return on assets (financial performance) of insurers, and on the society, and has several types of fraud. When fraud in the health, life and specialty insurance lines is added, insurance fraud costs could exceed $100 billion a year.

Keywords: Types; Health Insurance; Fraud; Insured; Healthcare provider.


[Full Text Article]  [Download Certificate]

Call for Paper

World Journal of Pharmaceutical Research (WJPR)
Read More

Email & SMS Alert

World Journal of Pharmaceutical Research (WJPR)
Read More

Article Statistics

World Journal of Pharmaceutical Research (WJPR)
Read More

Online Submission

World Journal of Pharmaceutical Research (WJPR)
Read More