Glossary

Below we provide a glossary for some of the specialized biometric, health insurance, and healthcare terms used in this website and our promotional materials.

BioMetrics - are methods for uniquely identifying a person based upon one or more physiological traits such as a fingerprint.

Phantom Billing - is billing for services that were not provided, billing for services to persons accompanying a patient who did not receive any medical services, or billing for office visits that never occurred.

Card Swapping - when a patient receives treatments using another person’s medical information.

Up-Coding - involves billing for more expensive treatments that services actually provided during a patient’s visit.

Medical Identity Theft - involves someone pretending to be someone else by using a person’s name or other items such as an insurance card or number to obtain medical services.

Red Flag Rules - were created by the Federal Trade Commission (FTC), along with other government agencies to help prevent identity theft. These regulations require certain businesses and organizations to develop implement and administer an Identity Theft Prevention Program. According to the FTC rules, a Program may include reasonable procedures to authenticate customers such as biometric authentication.

SmartCard - is a pocket-sized card embedded with integrated circuits that can store patient information such as health insurance information and medical records.

Payer - is a healthcare organization that pays claims, adiministers insurance or benefit or product. Examples of payers include a health insurance company (UHC, AETNA, etc), health care professional (HMO), preferred provider organization (PPO), or government agency (Medicare, Medicaid, or VA).

Provider - is an organization or person who delivers proper health care professionally to any individual requesting health care services.

Health insurance fraud - can be defined as purposely deceiving, concealing, or misrepresenting information that results in health care benefits being paid to an individual or group.

Prevent health care fraud by using BioClaim™ and help us give fraud the finger.

Did you know?

BioClaim™ can provide a dramatic savings in administrative costs. Providers' costs of verifying insurance benefits for a patient are between $10 and $20 per encounter. With each physician seeing about 150 patients per week, the cost to one physician for phone based eligibility verification is about $1,500 per week.

How you save:  
Manual Cost $3.70
Electronic Cost $0.74
Savings per Transaction $2.95
Transactions per Year 7,200*
Estimated Annual Savings $21,240

* Assumption is 30 patients per day, 48 weeks per year, and preauthorization checked for all patients. Source: Milliman Study for WebMD, 2006

Learn More About Healthcare Fraud