A Different Kind Of Identity Fraud

Veriphyr proactively reports impermissible use of PHI the first time it happens.

 

Medical Malpractice With a Twist 

Manquis Daniels died in June 2011 after undergoing heart surgery. His surviving wife is suing the hospital.

Marie Daniels, Manqui’s wife, said her husband recovered well from the surgery. She claims a nurse gave him an injection that caused him to stop breathing. According to Marie, another nurse said to the one, “Why did you give him that?”.

In addition, Marie saw him dropped by the doctors. A medical coroner found he was bleeding from the the right coronary artery graft, possibly from chest compressions.

The hospital claims no wrongdoing.

The hospital also believed itself to be treating James Daniels, Manquis’ brother. Manquis admitted himself to the hospital under James’ insurance (a).

Identity fraud in this case raises the question whether Marie has a right to sue at all. After admitting James, the hospital looked to James’s medical records to determine treatment. Thus, Manquis may have gotten in his own way to receive proper care.

 

Identity Fraud

Insurance fraud like that committed by Manquis is common, especially in times of high unemployment. Hospitals usually chose not to further investigate cases such as these.

Typically, insurance fraud involves hospital staff stealing data to sell on the black market. Protected health information (PHI) can be sold for around $50.

While Veriphyr cannot protect insurance companies from fraudulent customers yet, its advanced data analytics can help protect hospitals from much more insidious cases of employee snooping and the impermissible use of patient data.

 

Sources

(a) Milwaukee Sentinel – June 25, 2011