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Healthcare & Pharmacy

Protect patient records from posthumous misuse

A deceased patient's identity is a durable asset for prescription diversion and billing fraud, because no living patient will ever review the statement or dispute the claim.

Pre-payClaim screeningHold suspect claims before reimbursement is released.
DailyIndex refreshNew decedent records published every day.
BulkPatient index sweepsKeep the master patient index current on a schedule.
The exposure

What goes wrong without current deceased data

Every one of these failures traces back to the same root cause: the death happened weeks before the data you screen against reflected it.

  • Controlled-substance prescriptions filled under a deceased patient's identity
  • Claims and reimbursements billed for patients who have died
  • Patient master indexes carry deceased records long after the fact
  • Outreach and recall campaigns contact families of deceased patients
The outcome

What changes for healthcare & pharmacy

Curb prescription diversion

Flag decedent identities at the point of dispensing rather than during a retrospective audit.

Reduce billing fraud

Screen claims against a current deceased index before reimbursement is issued.

Cleaner patient index

Keep the master patient index accurate with scheduled deceased-status sweeps.

Respectful communications

Suppress deceased patients from outreach so families are not contacted in error.

Where it fits in healthcare operations

Payers integrate the check into pre-payment claim edits so a claim for a deceased member is held before reimbursement. Provider organizations and pharmacy networks run scheduled sweeps of the patient master index, both to flag potential diversion and to suppress deceased patients from recall, survey and marketing communications.

The flow

From identity to decision

STEP 01

Send the identity

Post the name, date of birth and any combination of SSN or last known address to our verification endpoint, or upload a batch file through the dashboard.

STEP 02

We match against the live index

The identity is scored against our continuously refreshed nationwide deceased index, built from source records rather than downstream aggregators.

STEP 03

Get a decision-ready verdict

You receive a clear deceased / not-found verdict, a confidence score, the date of death where available and a reference ID you can store for audit.

STEP 04

Act before the loss

Block the application, freeze the account, pause the benefit payment or route to manual review, all before funds move and while recovery is still possible.

FAQ

Healthcare & Pharmacy questions, answered

Frequently asked questions

How is this used in prescription fraud prevention?

Pharmacy networks screen patient identities against the deceased index at or near the point of dispensing. Because our records typically appear within a week of death, a decedent identity being used for controlled-substance diversion is flagged while the pattern is still active rather than months later in a retrospective audit.

Can payers use this in pre-payment claim edits?

Yes. Real-time verification is fast enough to sit inside a pre-payment edit, so a claim submitted for a deceased member can be held for review before reimbursement is released rather than pursued afterwards through recovery.

Does this help keep our patient master index accurate?

Scheduled batch sweeps identify records that should be marked deceased. Beyond fraud prevention, this materially improves the quality of outreach and recall campaigns and avoids the distress caused by contacting the family of a deceased patient.

How is submitted patient data handled?

Submissions are encrypted in transit and at rest, retention windows are configurable to match your governance policy, and we never resell the identities you submit. Data-handling specifics are agreed as part of the onboarding and contracting process.

Close the gap for your healthcare workflow

Share your use case and expected volume and we will issue sandbox credentials so your team can build and certify the integration before contracting.