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Data Mining, 1,600 dedicated agents... how Health Insurance wants to avoid 500 million euros in fraud per year


By 2024, the organization intends to more than double the amount of financial damage by targeting fraudsters and strengthening sanctions.

More than 60 million policyholders, hundreds of thousands of healthcare professionals, 1.4 billion healthcare forms processed and 230 billion euros in healthcare expenditure financed each year.

Health Insurance is a huge machine.

And a target of choice for fraudsters, whether they are insured or health professionals.

Last year, 219.3 million euros of abuse were detected and stopped by the Cnam, an amount that has risen to 2.2 billion since 2012.

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Source: leparis

All business articles on 2022-10-01

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