South Korea’s FSS and HIRA sign agreement to combat insurance fraud

  • FSS and HIRA signed an agreement to combat medical and insurance fraud.
  • September 16 marked their data-sharing agreement at FSS headquarters in Seoul.
  • The agencies will refer suspected institutional fraud, monitor providers, and coordinate inspections.

South Korea’s Financial Supervisory Service and Health Insurance Review and Assessment Service signed a memorandum of understanding on September 16 at the FSS headquarters in Yeouido, Seoul, to combat insurance fraud involving indemnity health insurance, national health insurance and auto insurance. The agencies will exchange suspected cases, link claims and payment data, and jointly investigate anomalies such as excessive non-covered treatment and improper auto-insurance medical claims. Medical institutions suspected of fraudulent claims will be promptly referred for investigation under the FSS’s stated zero-tolerance policy. The agreement also establishes expanded hospital monitoring, personnel and expertise exchanges, joint prevention campaigns and a working-level consultative body. The initiative follows recent cases involving a Korean medicine hospital in Busan and a large Korean medicine hospital in Daegu, highlighting gaps created by fragmented oversight of public and private insurance.

The information on this website is generated using AI and we cannot guarantee its accuracy. Please use it as reference information only.