FRAUD in insurance market - specially when it comes to be inter-nations like travel, international health ...etc - is a continuous annoying story.
Fraud is defined as the intentional act of deceiving, concealing, or misrepresenting information that results in unnecessary healthcare costs being paid. Fraud is illegal and a good example is a falsified claim while Abuse is the engagement in practices that are inconsistent with clinical standards, leading to unnecessary costs being paid.
I won't discuss here FRAUD per se which it a very wide subject we can discuss in other articles. However, and from more than twenty years of working in Egyptian market, I got some - what we can say local and personal experience from medical travel assistance - which I would like to share here with you.