(Seoul = Yonhap News) Reporter Kim Nam-kwon = The Financial Supervisory Service and the National Health Insurance Corporation (Keonbo Corporation) decided to strengthen responses through joint investigations to eradicate insurance fraud linked to private insurance and health insurance (public insurance) on the 25th. .
On this afternoon, the Financial Supervisory Service and the Health Insurance Corporation held the inauguration ceremony of the’Public and Private Insurance Joint Investigation Council’ in the conference room of the Seoul Health Insurance Corporation.
The event was attended by Financial Supervisory Service Director Kim Eun-kyung, Director Kang Cheong-hee of Health Insurance Corporation, and executives of Life and Non-life Insurance Association.
Insurance fraud damage occurred not only in private insurance but also in public insurance, so a council was formed with the intention that active cooperation between related agencies was necessary.
The Financial Supervisory Service and the Health Insurance Corporation regularly hold a council and conduct joint investigations on large-scale insurance frauds linked to private health insurance.
A typical example is the case where false inpatients were collected in a doctor’s hospital borrowed from the names of doctors, and the private insurance and health care benefits were simultaneously skewed.
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There was also a case in which an obesity injection drug that was not covered by the loss insurance was manipulated into an insurance claimable cold treatment, and then the insurance money and health care benefits were received at the same time.
The two organizations also plan to strengthen their investigation capabilities by sharing insurance fraud investigation techniques and educational information.
In his greeting, Director Kim Eun-kyung said, “As a result of our efforts to detect and eradicate insurance fraud, the amount of insurance fraud detection in 2019 exceeded 880 billion won, a record high.”
“According to the results of joint research between Seoul National University and Korea Insurance Research Institute, the estimated amount of private insurance fraud is 6.2 trillion won, and the amount of national health insurance claims due to private insurance fraud is
It is estimated that it is estimated to reach a maximum of 1.2 trillion won per year,” he said. “If the sharing of information between the public and private sectors is expanded, the number of insurance claims due to double claims or false claims will be greatly reduced.”
(Seoul = Yonhap News) The Financial Supervisory Service and the National Health Insurance Corporation (Keonbo Corporation) held the inauguration ceremony of the’Public-Private Insurance Joint Investigation Council’ on the afternoon of the 25th in the conference room of the Seoul Health Insurance Corporation. Financial Supervisory Service Director Kim Eun-kyung (third from left) is holding a meeting and inauguration of the council. March 25, 2021
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2021/03/25 17:17 sent