Medical ID Theft Costs Victims Big Money

dt-id-theft-march-2015From – – by Mark Pribish

Medical ID theft costs victims big money, and resolving cases is complicated and time-consuming. Mark Pribish discusses the most important details from Ponemon Institute’s study.

Roughly 2.3 million Americans adults, averaging 6,300 every single day, were medical ID-theft victims in 2014. If that threat doesn’t make you sick, medical ID theft is up a staggering 21.7 percent from 2013, according to the Ponemon Institute.

“Medical identity theft occurs when someone uses an individual’s name and personal identity to fraudulently receive medical services, prescription drugs and/or goods, including attempts to commit fraudulent billing,” according to Ponemon’s “Fifth Annual Study on Medical Identity Theft.”

Beyond simple financial loss, victims can experience serious risks related to their health care as a result of medical ID theft. When you need care, a fraud patients’ record may be co-mingled with yours, potentially leading to misdiagnosis, mistreatment or delayed care.

I’ve assembled the most critical points from Ponemon’s study to help you prevent or mitigate the potential impact of medical ID theft:

Medical identity theft is costly to consumers.

Unlike credit-card fraud, victims of medical identity theft can suffer significant financial consequences. Sixty-five percent of medical identity theft victims had to pay an average of $13,500 to resolve the crime. In some cases, they paid the health care provider, repaid the insurer for services obtained by the thief, or they engaged an identity-service provider or legal counsel to help resolve the incident and prevent fraud.

Those who have resolved the crime spent, on average, more than 200 hours on such activities as working with their insurer or health-care provider.

Medical identity theft can have a negative impact on reputation.

Forty-five percent of respondents said medical identity theft affected their reputation mainly because of embarrassment due to disclosure of sensitive personal health conditions; 19 percent of respondents believed the theft caused them to miss out on career opportunities. Three percent said it resulted in the loss of employment.

Medical identity theft is a complicated crime to resolve.

The health-care provider or insurer seldom informs the victim about the theft. In general, victims learn about the theft of their credentials more than three months after the crime and do not know when they became a victim.

Resolution of medical identity theft is time-consuming.

Because of federal privacy regulations, victims must be involved in the resolution of the crime. In many cases, victims struggle to reach resolution. Only 10 percent of respondents in the Ponemon study reported achieving a completely satisfactory conclusion of the incident.

From the World Privacy Forum, a non-profit public interest research group dedicated to privacy research and consumer education, here are five helpful tips to protect yourself from medical ID theft:

  • Review insurance statements regularly.
  • Request a copy of your annual health benefits paid in your name and check for fraudulent charges.
  • Request a copy of your electronic medical file.
  • Monitor your credit report for fraudulent activity by taking advantage of
  • Safeguard your insurance card and do not share it with friends or family.

Mark’s most important:

As more of our health-care information is stored online, medical ID theft will continue to grow. Be more vigilant in securing and monitoring your medical information.

Mark Pribish is vice president and ID-theft practice leader at Merchants Information Solutions Inc., an ID theft-background screening company based in Phoenix. Contact him at [email protected]

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Cat Tilley
5 years ago

I tend to agree with what Mr. Carlson stated above, the Social Security ‘leftover’ funds after payouts every year at some point started going into the general funds to run the Federal Government & were replaced with useless ‘IOU’s’.

It’s because of this, that we’re now in the situation we’re in. Making matters worse was the lifting of the gold to match every dollar & later tariffs that caused the loss of uncountable millions of jobs, meaning the government ended up digging into the SS Trust Funds more due to lack of incoming taxpayer dollars, until there was none. Now, they just print more money & that weakens the dollar, and will eventually cause the dollar to become untrusted.

There’s lots of blame to go around, while I wasn’t old enough to see this in the 50’s through 70’s, I sure seen plenty through the 80’s & 90’s. It was the SS Trust Fund that gave Clinton a ‘balanced’ budget 7 out of 8 years in office, had that Trust Fund remained untouched, there would be enough to ride out the ‘Boomer’ generation with plenty left over.

That’s why there should have been safeguards in place BEFORE this started taking place. Social Security should have been a protected asset, for beneficiaries & to run the program only, not a open piggy bank to fund every government action under the sun. There’s no telling how much of this cash went to fund our foreign ‘partners’ & aid granted over the years. We never get paid back, yet are always asked to ‘intervene’ in nearly every crisis that takes place.


Walter Carlson
6 years ago

Why don’t we raise a BIG stink about the Billions of dollars that the congress stole from Social Security in the 50s,
60s, and 70s? It’s our money in trust that was stolen from us by acts of congress.

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