Healthcare has an identity crisis. Literally, not figuratively. The system bleeds billions in fraud every year. Duplicate records sit in databases like ticking time bombs. We treat patient matching as a back-office headache. It is actually a clinical imperative. The stakes are simply too high to keep putting this on the back burner.
I recently sat down with Jay Meier, Chief Identity Technology Strategist at FaceTec. We discussed the severe challenges of patient matching and healthcare fraud. We explored how the company verifies identity using a person’s liveness, keeping data local and protecting patients.
What This Conversation Revealed
- Duplicate identity profiles cause patients to receive incorrect medical treatments. Hospitals can adopt FaceTec’s liveness verification at the point of care to prevent medical errors and reduce liability.
- Bad actors can bypass basic online portals using stolen pictures. With FaceTec, systems can require proof of a living human before allowing login access. This stops fraudulent transactions before they penetrate the network.
- Phantom claims drain Medicaid budgets when services are billed but not delivered. Providers and patients scan cryptographically signed identity codes together during the encounter. This generates an irrefutable timestamp proving the service actually occurred.
Treat Identity as a Patient Safety Imperative
Poor patient matching is a clinical danger. It goes far beyond administrative delays. “There are patients showing up and being linked to the wrong health identity. They are being treated for things that they don’t actually suffer from,” Meier explained.
The scale of the issue is massive. “A recent study said 18% of identity profiles in the US healthcare system are either duplicative or fraudulent,” said Meier.
Stop Digital Fraud at the Front Door
The United States healthcare system is a massive target for bad actors. The Centers for Medicare & Medicaid Services (CMS) estimated that the improper payment rate in Fiscal Year 2025 was $28.83 billion. While not all improper payments are fraudulent, a portion of that $billion number is directly related to fraud.
Static passwords are no longer enough. Even two-factor authentication is not enough.
“What Facetec’s “liveness” does is affirm that it is actually a living human being that is trying to do something online,” Meier stated. “If you can determine that it is not an actual living human being that’s doing this – ie: maybe it’s a video that’s been injected into the system or a picture [being held up to the camera], then there’s no reason to go any further. You can cancel the transaction at that point”.
Give Biometric Control Back to Patients
Centralized biometric databases make patients nervous. Storing face maps on corporate servers creates targets for hackers. A physical card with a secure UR code, from FaceTec, solves this problem.
“Because some people don’t like the idea of a massive company having your biometric data on file somewhere, the healthcare company can give you the QR code, put it on your health ID, so that you can present it and control your own biometric data,” explained Meier. “We call this QR code for identity a UR code and it means I have control of my own personal biometric information. It’s not in some database for somebody to steal.”
Crush Ghost Billing with Dual Verification
Healthcare bleeds money through phantom claims. Bad actors bill Medicaid for services like transportation that they never actually provide. “Well as was the case in Minnesota, there was no bus and the bus driver never showed up…and then the company would bill Medicaid for services that were never rendered,” Meier noted.
Scanning secure codes at the point of care fixes this blind spot. Meier gave the following example: “When the bus driver shows up at her [the patients’] house, he has to scan her UR code to confirms that she was there. When they get on the bus, he has to scan his own UR code that confirms that he was there driving the bus. This can be tokenized and everything is timestamped. We have irrefutable proof this service was rendered.”
The Reality
The reality? Trust does not come from complex security policies that annoy patients and staff. It comes from building a reliable, friction-free way to ensure the person across the screen is exactly who they claim to be. FaceTec offers such a solution – one based not just on facial scans – but on the actual liveness of a person that is stored locally and not in a centralized database.
FaceTec’s solution is by no means the only answer to healthcare’s identity challenge, but the fact their solution is implementation ready means there is one less excuse to delay investing in solving this challenge. To reduce costs and improve patient safety, patient identity needs to be moved up the priority ladder.
What Healthcare IT Leaders Are Asking
How does liveness technology differ from standard biometric logins?
Standard biometric logins often rely on stored device data that can be spoofed or bypassed. FaceTec’s liveness technology actively verifies that a real, living human is present at the exact moment of the transaction. It detects attempts to use photos, videos, or masks. This prevents bad actors from accessing patient portals even if they have stolen credentials.
Does using a UR code require a massive central biometric database?
No. A UR code encodes a small amount of biometric data and identity information directly into a cryptographically signed QR code. When scanned, the system compares the live face to the data stored within the code itself. This allows patients to maintain control of their biometric data without it being stored in a central, hackable repository.
How can verifiable identity prevent healthcare reimbursement fraud?
Fraud often occurs when bad actors bill for services that were never actually rendered. By requiring both the service provider and the patient to scan their unique identity codes at the point of care, health systems create a tokenized and timestamped record. This provides an irrefutable audit trail proving both parties were physically present for the encounter.
Learn more about FaceTec at https://www.facetec.com/
Listen and subscribe to the Healthcare IT Today Interviews Podcast to hear all the latest insights from experts in healthcare IT.
And for an exclusive look at our top stories, subscribe to our newsletter and YouTube.
Tell us what you think. Contact us here or on Twitter at @hcitoday. And if you’re interested in advertising with us, check out our various advertising packages and request our Media Kit.
Facetec is a proud sponsor of Healthcare Scene.
About Donna Palmer