Know Your Patient (KYP) – Addressing Adverse Effects Of Healthcare Crimes

know your patient
know your patient

The healthcare sector is on the verge of falling victim to global fraudsters. With the skyrocketing adoption of telehealth and other virtual medical services, the risk of cybercrimes is increasing. Imposters are making efforts to reap their share of medical benefits such as insurance claims. The sector is facing a dramatic increase of 79% in data breaches. Therefore, it has become mandatory for the healthcare sector to employ know your patient checks. 


Where criminals are using sophisticated ways to carry out malicious activities, digital patient id verification solutions are placing restriction guards in their way. Modern technology is bringing various conveniences to both the healthcare sector and criminals to execute their illicit plans. This blog entails cybercrimes and how patient verification online solutions enhance the security of the healthcare sector.

Patient Id Verification – Measure to Combat Rising Cybercrimes 

Similar to other industries, healthcare is also facing cybercrimes but the consequences are far worse. The chances of medical data breaches can expose patients to life-threatening risks. For instance, changes within the information will lead to inappropriate medication. Similarly, minors’ easy access to drug e-stores adverse is increasing the chances of developing life-long addictions. This is why it has become necessary for medical care providers to do online patient verification prior to their onboarding. 


In this era of rapid digitization, the healthcare sector is also striving for bringing convenience. This involves automating patient Id verification as well as identity validation, replacing physical visits with virtual check-ups, shifting medical records to cloud databases, and introducing telemedicine. With all these advancements within the healthcare sector, it is also experiencing an increase in cybercrimes. Major types and details regarding the prevalent types are in the next section.  

Medical Data Breaches 

Fraudsters dodge the patient verification online mechanisms with advanced tools at their disposal and commit data breaches. With increasing attempts, Protected Healthcare Information (PHI) has become more valuable as well as vulnerable than Personally Identifiable Information (PII). Among over 679 criminal attempts and patient Id theft, the DCA alliance data breach is seen holding the top rank. 


As reported in December 2020, the DCA Alliance data breach compromised 1,000,000 records. This third-party vendor is seen facilitating over 320 medical care providers across 20 different jurisdictions. This shows that DCA Alliance holds the highest number of global healthcare records. 


As criminals are sophisticated enough, they can bypass the know your patient checks to steal medical records including names, addresses, billing details, payment information, and data regarding insurance. These records are either used for personal gains such as paying for expensive treatments or sold on the dark web to earn money. Therefore, the healthcare sector requires robust identification of patient solutions to safeguard its databases against external breaches. 

Ransomware Attacks

These attacks involve three types of methods where fraudsters infuse viruses into the systems of medicare service providers. These include;

  • Phishing Attacks

This method involves the use of communication either through e-mails, cellphone, or messaging to gain names, passwords, and other medical details. Fraudsters impose themselves as healthcare professionals and ask legit patients to reveal their confidential information. Phishing attacks are the most prominent in the healthcare sector. However, with efficient digital patient verification mechanisms in place, medicare service providers can overcome this risk.

  • Malvertising

Malvertising is the use of malicious advertisements for driving the legit patient to fake websites. Upon arrival, the individuals either provide their information or click on Call-To-Action (CTA) buttons. This way, criminals inject codes into users’ systems leading to compromising of confidential information. In order to combat this menace, the healthcare sector requires robust know your patient solutions. 

  • Clickbait 

Online services to check patient health Id also help the healthcare sector to combat clickbait. This refers to writing misleading or sensationalized content that grasps the attention of users. Fraudsters often use names of legit medicare service providers and prepare such websites while offering fake insurance or treatment benefits. This helps criminals illegitimately get their hands on legit information. 


However, efficient digital patient verification mechanisms to help the healthcare sector address negative consequences such as reputational damages and hefty penalties.


Moving on, among several attempts of ransomware attacks, the one on Greater Baltimore Medical Center (GBMC) was the most successful. While the facility and professionals were assuring that they are safeguarding medical records, criminals were going otherwise. By injecting malware into the center’s systems, fraudsters managed to illegitimately access the records of thousands of individuals. Therefore, healthcare facilities and every other affiliate require patient verification online solutions to uplift security and data privacy.  

In Conclusion 

In a nutshell, to place safety guards against phishing attacks, data breaches, and ransomware, medical service providers need to incorporate online patient verification solutions. With services like active screening of individuals, biometric-based identification, and several others, AI-powered tools are upholding the integrity of the healthcare sector. Furthermore, identification of patient for pharmacies and other medicare affiliates is helping every subsidiary to secure its operations. Hence, online know your patient solutions help the healthcare sector to assure the legitimacy of legit individuals. 


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