• Overview
    • Scam Map
    • Kill Chain
Recents

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Technique

Medical Identity Theft

Also known as: Healthcare Identity Theft, Health Insurance Fraud, Medical Record Theft

MONETIZATION

Using stolen health insurance information to obtain medical care, prescriptions, or file false claims, corrupting the victim's medical records.

Common attack flows

How it fits in a scam

This technique shows up duringMONETIZATION

Before

  • Credential TheftCOMPROMISE
  • Data Breach HarvestingTARGETING
  • Data BrokersTARGETING
  • Rental ScamDELIVERY
  • +5 more

After

This is often where the scam ends.

Defense

How to defend against this

How to spot it

  • Explanation of Benefits for services you didn't receive
  • Bills from healthcare providers you never visited
  • Medical records contain conditions or allergies or blood type that aren't yours
  • Health insurance maxed out unexpectedly
  • Denied coverage due to pre-existing condition you don't have
  • Collection notices for medical bills you don't recognize

Tools you can use

  • Identity Theft Protection ServiceCost medium · Effect high

Steps you can take

  • Medical Record ReviewCost low · Effect medium

Further reading

  • HHS OIG

    HHS consumer alert

  • FBI

    FBI healthcare fraud

Related techniques

Variants

  • Identity Theft

Same stage

  • Fake Crypto Platform
  • Fund Siphoning
  • Wire Transfer Redirect
  • Gift Card Extraction
  • Crypto Wallet Drain
  • +7 more

Similar defense

  • Criminal Identity Theft
  • Synthetic Identity Creation
  • Change of Address Fraud
  • Data Breach Harvesting