MBR IT Solutions Ltd was approached by The Health Insurance Counter Fraud Group UK (HICFG) - an industry initiative to prevent and detect fraud within health care and the insurance sector - to devise and implement a bespoke software package that would allow its members to share intelligence on fraudsters who are using the private medical system to swindle insurers out of hundreds of thousands of pounds per year.
The Group consists of 11 health insurance companies, including PruHealth, AXA PPP healthcare and BUPA.
"This is a very serious matter and one that costs the industry significant sums every year," explained Chair of the HICFG, Ray Collins of PruHealth. "We know that by pooling the research and collected data on fraudulent activities and their perpetrators, we can reduce such offences, but we needed an IT provider that would understand the requirements and fulfil the information exchange needs of our members."
The system needed to fulfil four key criteria:
1. To create a flexible and efficient database facility for members to share and store information
2. To allow interested parties from outside the organisation access to this information
3. To create a 'community' website where intelligence can be exchanged
4. To devise a 'public' website to educate and inform
"We provided the solution by building an extranet based on Microsoft .NET, Microsoft Windows Server 2003 and Microsoft SQL Server 2005," said Matthew Baxter-Reynolds, MD, MBR IT. "The Group can now offer details of possible fraud cases in real-time - where quick responses can be crucial in preventing further actions where fellow members may have an interest. The system also boasts an efficient 'signposting' function to highlight potential issues - a network that can identify risks to alert others and act as an 'early warning ' system."
"We are delighted with the end product and have received complimentary reviews in the sector media, " added Ray. "And we are now in the process of presenting the package to public sector services and life/pension companies that are also looking to reduce cases of fraud."
Notes to Editors…
MBR IT Solutions was founded by Matthew Baxter-Reynolds, a software development consultant and expert in software engineering. Matthew has authored and co-authored over a dozen books on software engineering on the Microsoft platform, written hundreds of articles and spoken at many conferences.
MBR IT is a Microsoft Gold Certified Partner and Matthew was made a Microsoft Most Valuable Professional (MVP) in January 2004.
Based in Milton Keynes, MBR IT is a team of software development experts and specialise in bespoke software applications based on Microsoft .NET and Microsoft server, client and platform products.
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Anita Henry
MBR IT Solutions Ltd
