IT to treat healthcare fraud in Florida

CIOL Bureau
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CORAL GABLES, US: Simply Healthcare Plans, Inc. (SHP), a Florida based HMO, has entered into a collaboration agreement with Biometric Technologies, Inc. where Biometric Technologies will assist SHP with its efforts to reduce and prevent healthcare fraud in Florida.


Biometric Technologies is a Florida based technology company that has developed BioClaim, a unique patented software product specifically developed for the detection of fraudulent healthcare claims. BioClaim uses biometrics to authenticate a patient at the point of service and interfaces the patient and claims information with the HMO claims system. SHP anticipates launching BioClaim with a select group of Medicaid providers in the next 90 days.

Mike Fernandez, CEO of SHP said, “BioClaim is a unique product and we are excited to join forces with Biometric Technologies to provide an innovative solution that will allow us to deter and prevent healthcare fraud in Medicaid. We are concerned with the rising trends in healthcare fraud and will need to stay ahead of the curve when it comes to stopping healthcare fraud. Providing innovative technological solutions such as BioClaim is one way we can prevent healthcare fraud in Florida.”

 Scott Kimmel, Vice President of Biometric Technologies said, “The healthcare fraud estimates according to the Congressional Budget Office and General Accounting Office are 10 per cent of the total healthcare expenditures in Medicare and Medicaid services and we believe our product BioClaim is uniquely positioned to help reduce and prevent healthcare fraud. We are extremely excited in partnering with Simply Healthcare Plans. Mike and his team have a great track record of success and we hope we can grow together with them by proving the value of our product.”