Saudi Arabia: Health insurers reject 25% of claims as fraud
Source: Middle East Insurance Review | Sep 2017
Insurers in Saudi Arabia are rejecting about 25% of medical claims from hospitals and other service providers on the grounds of fraud.
Identity fraud and other fraudulent practices committed by patients and service providers are the main reasons for heavy losses suffered by health insurers, said Mr Maher Al-Joairy, an insurance expert.
He attributed the growing incidence of fraud to weak systems, reported The Saudi Gazette.
He proposed affixing photographs of insured persons on health insurance cards in order to prevent misuse and foul play and to reduce losses for insurers.
Health insurers are now thinking of how to minimise losses instead of how to make profits as a result of the fraudulent practices in the sector, he said. M