What do we do when we suspect fraud?
As an insured person, this may affect you. When a lot of healthcare expenses are wrongfully claimed, it may result in higher healthcare insurance premiums. An active fraud policy is therefore vital. In the event of threatening behaviour, we can document the personal data of a healthcare provider or insured in the External Reference Index (”EVR”). This is done in accordance with the rules set out in the Protocol Incident Warning System for Financial Institutions (in Dutch). The EVR is used by financial institutions to assess the integrity of customers and business relations. We can assess the EVR via the central database of the Central Information System Foundation (CIS).
What do we do in the event of fraud?
If we suspect fraud, we may have the details recorded in the Fraud Information System Holland (FISH) or other fraud identification systems recognised by the insurers. Data is recorded in accordance with the rules set out in the Protocol Fish (in Dutch). We also file a report with the Public Prosecutor's Office. We recover the damage we have suffered from the fraudster.