{"id":17338,"date":"2025-05-22T14:07:47","date_gmt":"2025-05-22T12:07:47","guid":{"rendered":"https:\/\/newmediacreative.co.za\/afrocentric\/?p=17338"},"modified":"2025-06-25T11:28:23","modified_gmt":"2025-06-25T09:28:23","slug":"members-in-the-know","status":"publish","type":"post","link":"https:\/\/newmediacreative.co.za\/afrocentric\/archives\/17338","title":{"rendered":"Members in the know"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"17338\" class=\"elementor elementor-17338\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0b5dd57 e-flex e-con-boxed e-con e-parent\" data-id=\"0b5dd57\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bfcc8bd elementor-widget elementor-widget-heading\" data-id=\"bfcc8bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">While we ensure that healthcare providers act ethically, a critical focus in combatting fraud is educating members.  <\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c18e67a elementor-widget elementor-widget-text-editor\" data-id=\"c18e67a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The Group Forensics team gets invited to attend scheme open days and wellness events, where they interact with members face-to-face to get into the nitty gritty of what\u2019s happening out there and at the same time, get to educate them on Fraud, Waste, Abuse and Error (FWAE) a<span style=\"font-family: inherit; letter-spacing: 0px;\">nd what to be on the lookout for.<\/span><\/p><p>In the first quarter of this year, the team met over 2 000 members across various schemes. The direct interaction was priceless and this was evident in the questions members asked, and also the information they shared with us.<\/p><p>\u201cIt\u2019s so rewarding when members express how happy they are that we have come out to meet and speak to them personally, to educate them on things they may not have known, and where they do know, to elaborate and show them how and where to access information \u2013 and, very importantly, how to report incidents that are irregular,\u201d the team said<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-876e5b8 e-con-full e-flex e-con e-child\" data-id=\"876e5b8\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ae36145 elementor-widget elementor-widget-heading\" data-id=\"ae36145\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">\nSharing knowledge <\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d13c034 elementor-widget elementor-widget-text-editor\" data-id=\"d13c034\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Some of the pointers Group Forensics shared with members were:<\/p><ul><li>Ensure contact information is up to date with the medical aid scheme.<\/li><li>Take note of SMS or email notifications relating to claims.<\/li><li>Be aware of the claims submitted on their medical aid.<\/li><li>Read and understand their member statements.<\/li><li>Read notifications received pertaining to fraud-related tips.<\/li><li>Look out for suspicious activities between members and providers.<\/li><li>Details on how to report activities deemed to be suspicious or false.<\/li><\/ul><p>The team also gave members a few tips to avoid getting scammed:<\/p><ul><li>Double-check everything<\/li><li>Don\u2019t click on suspicious links<\/li><li>Use multi-factor authentication<\/li><li>Be cautious with personal data<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f068b46 e-grid e-con-boxed e-con e-parent\" data-id=\"f068b46\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5a41ea7 elementor-widget elementor-widget-image\" data-id=\"5a41ea7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"379\" height=\"238\" src=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/image3.jpg\" class=\"attachment-large size-large wp-image-17355\" alt=\"\" srcset=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/image3.jpg 379w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/image3-300x188.jpg 300w\" sizes=\"(max-width: 379px) 100vw, 379px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bec9f92 elementor-widget elementor-widget-image\" data-id=\"bec9f92\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"386\" height=\"241\" src=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/image4.jpg\" class=\"attachment-large size-large wp-image-17365\" alt=\"\" srcset=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/image4.jpg 386w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/image4-300x187.jpg 300w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div style=\"display:flex; gap:10px;justify-content:center\" class=\"wps-pgfw-pdf-generate-icon__wrapper-frontend\">\n\t\t<a  href=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/17338?action=genpdf&amp;id=17338\" class=\"pgfw-single-pdf-download-button\" ><img src=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/plugins\/pdf-generator-for-wp\/admin\/src\/images\/PDF_Tray.svg\" title=\"Generate PDF\" style=\"width:auto; height:45px;\"><\/a>\n\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>While we ensure that healthcare providers act ethically, a critical focus in combatting fraud is educating members. The Group Forensics team gets invited to attend scheme open days and wellness events, where they interact with members face-to-face to get into the nitty gritty of what\u2019s happening out there and at the same time, get to [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":17339,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[334],"tags":[329],"class_list":["post-17338","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-our-knowledge-centre-afrocentric14","tag-afrocentric14"],"acf":[],"_links":{"self":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/17338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/comments?post=17338"}],"version-history":[{"count":31,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/17338\/revisions"}],"predecessor-version":[{"id":20065,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/17338\/revisions\/20065"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/media\/17339"}],"wp:attachment":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/media?parent=17338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/categories?post=17338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/tags?post=17338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}