Know Your Patient – An Ultimate Solution to Counter Health Fraud

Know Your Patient

Technology is being used extensively in the medical sector since the coronavirus outbreak. Digitization has made great advancements in the medical sector. Just like any other industry, healthcare is also susceptible to various criminal activities. AI technology integrates into the systems to facilitate the healthcare sector with everything from digital prescriptions to computerized surgery. By improving safety and removing the chances of medical deception, Know Your Patient services also boost the credibility of the healthcare facility. Criminal activity and data breaches are spreading quickly in the medical sector and millions of data breaches have document so far. At this stage, healthcare companies began implementing automated solutions like patient verification services to battle against scammers and protect their reputations.

Identity Theft- Disrupting the Healthcare Sector


A scammer who utilizes stolen health data or phony identities to conduct their nefarious activities commits patient data breaches. The fraudster often uses the patient’s credentials to obtain online medicine prescriptions, access free medical services, and submit phony insurance claims in an effort to enrich themselves financially.


The consequences of patient identity fraud are more severe for both patients and healthcare professionals. The person’s health is at risk, and there are questions about the company’s reliability.


Process of Patient Verification 

Patient verification works similarly to any other verification procedure. The authentication process perform on the patient when they want to buy any medication or register themselves on the health sites. 

  1. Patients upload photographs of government-issued identification documents via webcam or smartphone cameras.
  2. They must capture a real selfie for creating a 3D mapping of the facial features.
  3. The authenticity of the identity documents is checked to identify the patient                               
  4. The details included in those documents including name and birthdate authenticate for age verification purposes.
  5. Patients are then checked for an AML authentication to verify patient identity and whether they have been involved in criminal activities.
  6. The medical platforms serve as a gateway to the patients based on the authentication results following a series of Know Your Patient checks.

Applications of KYP

The advancement in technology has opened doors for the introduction of creative SaaS services that satisfy people. Pharmacies are recognizing the value of patient identity verification services in successfully conducting online identification verification. With the aid of biometric verification technologies, it becomes harder for scammers to misuse other identities and escape the authentication system.


ID verification for pharmacies is said to be inexpensive and successful at avoiding fraudulent activity. The healthcare sector must use such technology in order to provide patients with secure and trustworthy services.

Medical Data Privacy

Healthcare regulators have created a number of regulations and policies regulating the security of confidential patient data. Therefore, each medical provider must adhere to the requirements of identifying patients. To further reduce the danger of data breaches the behaviors of the patients must be carefully watching to weed out suspicious activity.


Businesses that deal with confidential health data must implement technology-driven processes and take precautions to protect patient-sensitive data. Without compliance, they face fines and penalties.

Age Validation for Online Drugs 

Virtual pharmacies must validate the patients’ identities while distributing pharmaceuticals over digital channels. The continuous supply of age-specific products and pharmaceuticals by medical portals and digital pharmacies depends on patient age verification. The appropriate set of age verification standards must be included by platforms that intend to offer age-targeted drugs.

Overcoming Insurance Frauds

The healthcare industry is suffering as a result of medical data theft. Among confidential material are the patient’s identity and health insurance details; if those are stolen, the patient may incur monetary damage in contrast to the hospital’s reputation being damaged. Criminals also exploit the data to enter medical facilities while pretending to be legitimate patients, order prescription supplies digitally, and apply for health insurance. Identity fraud has negative effects, and patient data falsification can cause uncertainty in health records and payroll information.

Final Thoughts 


As criminal activity has made the medical sector a threat, it is critically important to use the Know Your Patient verification system to protect the healthcare sector from suspicious behavior. The pandemic that has made it harder to ensure the highest degree of security, serves as one of the elements causing the rapid growth in medical fraud. Therefore, using the KYP system mandate by law in order to fight fraudsters.

Leave a Reply

Your email address will not be published.