To combat workers’ comp fraud, why not make it standard operating procedure to send claimants an Explanation of Benefits, as health insurers routinely do now to catch crooked medical care providers in the act?

The EOB idea was fleshed out during a fraud panel that was part of the National Trends program I put together for the annual Workers’ Compensation Educational Conference in Orlando earlier this month.

The concept is really straightforward. After a worker is injured, send them an EOB that reviews what doctors they visited and which treatments were provided, along with the cost paid by the insurer. The claimant is politely asked to call a toll-free number if they see any providers, tests or other services listed that they don’t recall.

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