Preventing benefits fraud is a core priority for the Canadian Life and Health Insurance Association because it helps keep benefits plans accessible and affordable for the 27 million Canadians that depend on them, says Richelle Feddema, the organization’s senior manager of anti-fraud member management.

Insurers are working together through the CLHIA’s ‘Fraud Equals Fraud’ program, which focuses on education, data-driven detection and collaboration across the industry, she adds. “A key part of that work includes our three industry-wide collaborative tools. We have a provider alert registry, a [pooled set] of de-identified claims data . . . using artificial intelligence to detect anomalies and a framework that allows insurers to collaborate on investigations. These tools strengthen insurers’ efforts by enabling........

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