Patient Protection from Insurance Impersonation
Safeguarding sensitive patient information during outbound member communications
Unethical insurance investigators impersonated healthcare providers to extract sensitive patient information over the phone, which was then used to deny legitimate insurance claims.
How the Attack Worked
Unethical insurance investigators were calling patients, impersonating healthcare providers, and asking for sensitive patient information, which was then used to refute insurance claims.
How OrgVerify Solved It
The insurance provider adopted OrgVerify for all outbound member communications. Representatives gave a one-time code during calls, which members could verify before continuing the conversation.
Results & Outcomes
Members reported feeling safer and more informed. The provider saw a reduction in fraud-related incidents and improved member satisfaction scores. The solution also helped meet regulatory requirements for secure communications.
Key Enterprise Benefits
Verification Methods
Supported Workflows
Outbound Member Communication WorkflowsRelated Use Cases
Customer Impersonation Fraud
Scammers spoofed a financial institution's caller ID and called customers to harvest security question answers — then used that information to impersonate those customers at the bank's contact centre.
Account Verification Calls
Fraudsters impersonated bank employees to trick customers into sharing login credentials or transferring money. Banks deployed OrgVerify for all outbound account verification calls.
Tax Authority Impersonation
Bad actors were impersonating the government tax authority to extract confidential tax return information from citizens, then using it to reroute refund cheques and cash them.
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