Fraudes em Cobrança Indevida de Terapias Alternativas
Definition
Abuse in claims for non-standard therapies like naturopathy leads to insurer audits and repayments, common in fragmented Brazilian private health market.
Key Findings
- Financial Impact: R$2.000-5.000 per audited claim (2-5% revenue abuse rate)
- Frequency: Annual audits by plans
- Root Cause: Processo manual permite duplicatas ou sessões fictícias
Why This Matters
The Pitch: Clínicas de acupuntura/naturopatia sofrem R$30.000/ano em chargebacks por fraude. Automação com validação prévia previne.
Affected Stakeholders
Faturista, Administrador
Deep Analysis (Premium)
Financial Impact
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Current Workarounds
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Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Related Business Risks
Rejeição de NF-e por Serviços de Acupuntura e Naturopatia
Perda de Receita em Reembolso de Planos de Saúde
Atraso no Recebimento por Verificação Manual de Claims
Indenizações por Falhas em Consentimento em Pesquisas Clínicas Alternativas
Suspensão de Direitos por Fraude em Cobrança de Membresias
Perda de Receita por Cadastros Incompletos de Pacientes
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