"So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. For the next 20 minutes, John explained to us how his nightmare began with the first collection letters for medical procedures he had never received, from hospitals and doctors' offices that he had never visited. He told us about the ongoing arguments with bill collectors who insisted that he "pay his bills" when in fact, he had never been treated at any of these facilities. The response from the collectors was always the same: "Is this your name, address, Social Security Number, medical insurance ID, driver's license number? Pay your bills!"
John likens his experience to a game of "Whack-a-Mole." "Every time I think I have it resolved, it pops up again in another place," he said. "I just can't get it stopped!"
This is the face of medical identity theft. As crazy as John's story sounds, this is actually how many cases of modern identity theft play out. We have been taught by TV, radio, and social media ads that identity theft is about credit cards and bank accounts, but recent statistics show that huge data breach attacks have not targeted credit card numbers. When your credit card is stolen, your bank quickly jumps on it and changes your credit card numbers. However, when a thief steals the personal identifiers that establish your identity online, they can literally "be you" for any reason they need you. And where is there more information available about you than in your medical records?
Think about the information your medical insurance carrier or local hospital has about you and your family: name, address, dates of birth, Social Security Numbers, driver's license numbers (for you and possibly your family members). What more would I need to "be you" to get medical services, purchase a car, buy a house, or commit a crime in another state, all in your name? This is why medical identities are the most highly prized targets, with a complete medical record being worth as much as $1,200 on the "Dark Web."
By the way, it is always about the money for the identity thief! Let's just get that out of the way. They make money by assembling information on real people and then selling complete sets of identifiers to individuals who want to operate as other people. When someone gets control of your digital identifiers, such as those found in your medical records, financial losses may be the least of your problems.
In John's case, his identity had been used to obtain drivers' licenses, receive medical services, and commit multiple minor crimes. Some of the damage required the assistance of attorneys and investigators who understood these problems. Keep in mind that John had to deal with these issues on his own for about 13 years before we met him.
What is the good news in all of this? You now know where the danger is and that much of the identity theft problem is simply a result of the technology we all carry in our pockets; and we never advocate giving up the technologies that have made our lives better. Instead, we advocate putting good protection in place. When you look at protecting you and your family, just as you would with car or homeowners insurance, make sure you protect what really matters. For instance, you would never purchase car insurance that wouldn't actually cover car repairs, or homeowner's insurance that wouldn't pay to rebuild the house after a covered incident. Likewise, when you shop for identity theft protection, make sure it does two things very well:
Monitors the things that matter such as your driver's license (at all state Department of Motor Vehicles), passports, medical IDs, changes of address (at the post office), and county court houses to make sure you know when suspicious activity happens.
Offers "Power of Attorney" restoration services by experienced investigators who do this for a living.
We call it "find it and fix it" protection. WARNING: Not all identity theft protection is the same, so read the fine print. If your coverage offers these two protections, you'll be in good hands when an identity thief strikes.
If you have questions or comments about this article please contact us. Comments that provide additional related information may be added here by our Editors.
This ruling impacts what providers and suppliers are required to disclose to be considered eligible to participate in Medicare, Medicaid, and Children's Health Insurance Program (CHIP). The original proposed rule came out in 2016 and this final rule will go into effect on November 4, 2019.
There have been known problems ...
When federal employees sustain work-related injuries, it does not go through state workers compensation insurance. You must be an enrolled provider to provide services or supplies. The following are some recommended links for additional information about this program.
Division of Federal Employees' Compensation (DFEC) website
Division of Federal Employees' Compensation (DFEC) provider ...
The new 2020 CPT codes are on the way! We are going to see 248 new codes, 71 deletions, and 75 revisions. Health monitoring and e-visits are getting attention; 6 new codes play a vital part in patients taking a part in their care from their own home. New patient-initiated ...
Is the Functional Rating Index, from the Institute of Evidence-Based Chiropractic, valid and acceptable? Or do we have to use Oswestry and NDI?
You can use any outcome assessment questionnaire that has been normalized and vetted for the target population and can be scored so you can compare the results from ...
Cranial nerves are involved with some of our senses such as vision, hearing and taste, others control certain muscles in the head and neck. There are twelve pairs of cranial nerves that lead from the brain to the head, neck and trunk. Below is a list of Cranial Nerves and ...
You know how to find a procedure code and you may even know how to do the procedure, but where does the reimbursement come from? It seems to be a mystery to many of us, so let's clear up some common confusion and review some of the main reimbursement systems. One of the ...