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openIMIS Knowledge Base
Glossary
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Claim
Fraud
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Meaning
A deception that could result in unnecessarily paying for medical services. For example, if a provider files a claim for a service that was not provided.
Category
Performance Management
Synonyma
Further Reading
JLN Process - Claims processing
Sources
Joint Learning Network, 2012
File:
NHIIS_Phase_1_Public_Report_JLN_IT_Workshop_FINAL_Jan182012_A4.pdf
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