How Are They Able to Find Out.
- Thread starter SamIam
- Start date
- 7,790
They use undercover agents and track the keystrokes on the applicant's keyboard!
MzRSmith
Expert
- 22
I may be wrong-but don't think they really look into it-its just a question they ask on the form..but as an agent you are required to ask (???)
- 8,448
The below excerpt is taken from this site's FAQ section:
Health Insurance Program - NJ Protect
"I did not have health coverage in the past 6 months. How do I go about proving I did not have something?
The enrollment form asks a series of questions geared toward whether you had creditable coverage within the past 6 months. Answer the questions.
In addition, New Jersey is planning to contract with a company that has a massive database with information concerning health coverage. Using that database, insurance companies will be able to verify whether or not you have had creditable coverage within the past 6 months. "
Anyone have an idea what company has this MASSIVE DATABASE? I suppose if your name doesn't come up on this database, then you're in the clear and can't be denied or rescinded by the state/fed government once you're on this new PCIP plan. It doesn't cost anything to apply, but your name could be put on some "give-em-hell" list for lying to Uncle Sam?
Health Insurance Program - NJ Protect
"I did not have health coverage in the past 6 months. How do I go about proving I did not have something?
In addition, New Jersey is planning to contract with a company that has a massive database with information concerning health coverage. Using that database, insurance companies will be able to verify whether or not you have had creditable coverage within the past 6 months. "
Anyone have an idea what company has this MASSIVE DATABASE? I suppose if your name doesn't come up on this database, then you're in the clear and can't be denied or rescinded by the state/fed government once you're on this new PCIP plan. It doesn't cost anything to apply, but your name could be put on some "give-em-hell" list for lying to Uncle Sam?
Last edited:
MIB does not report if you are currently insured, only if you have applied for insurance and been denied or rated. They also have a very limited medical history based on claims filed with carriers.
Rx databases have a list of meds you have filled over the last 4 years if you also filed a claim for the meds.
Given the number of fraudulent claims filed under Medicare and Medicaid, and the fact it takes the govt YEARS to uncover fraud and only then when it runs in the millions or dollars, what are the chances they will be more judicious on this 3 yr program vs one that has been running for over 40 years?
Not saying someone should lie on their PCIP application, but I don't think this is a priority.
Heck they are still trying to find folks that filed fraudulent Katrina claims and got pre-loaded ATM cards courtesy of Uncle Same.
Rx databases have a list of meds you have filled over the last 4 years if you also filed a claim for the meds.
Given the number of fraudulent claims filed under Medicare and Medicaid, and the fact it takes the govt YEARS to uncover fraud and only then when it runs in the millions or dollars, what are the chances they will be more judicious on this 3 yr program vs one that has been running for over 40 years?
Not saying someone should lie on their PCIP application, but I don't think this is a priority.
Heck they are still trying to find folks that filed fraudulent Katrina claims and got pre-loaded ATM cards courtesy of Uncle Same.
- 7,790
Is there an informant's reward like we had at the IRS?
- 14,809
Databases can be created and coordinated. Last article I read addressed "doctor shopping" to obtain endless prescriptions for medication. They are now putting something together where "Dr. Smith" can see that his patient just got a prescription from "Dr. Jones."
http://www.boston.com/news/health/blog/2010/08/mass_cracks_dow.html
http://www.boston.com/news/health/blog/2010/08/mass_cracks_dow.html
- 14,809
...but they know if I'm 14 seconds late on my taxes.
- 15,041
Because it really isn't that important to the government...
But that is extremely important...
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