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September 19, 2020

CNAS to notify the Court of Audits over fraud suspicion

The president of the National House of Health Insurances (CNAS) will ask the Court of Audits to start an audit, after differences were found between the number of health insurance beneficiaries included in the House data base and the number of patients registered with family medics. “We made this decision after noticing inadvertences between the number of insurance beneficiaries, as registered with the centralised data base of the Integrated IT System (SIUI), and the lists of patients reported before the enforcement of the centralised version of the IT system,” CNAS president Lucian Duta said in a press conference yesterday. The formal request will reach the Court of Audits this morning, he added.

The most significant differences were found in Bucharest, but similar problems were also discovered in various counties all over the country. “In Bucharest, where there are 1,600,000 insurance beneficiaries, over 2.5 million were registered prior to enforcing the SIUI,” the CNAS official explained.

Duta did not want to estimate the total size of the fraud, only saying that the institution might report the situation to “pertinent state institutions.” The head of CNAS also mentioned a different kind of fraud, involving very expensive medicines, especially those used for cancer treatments. According to Duta, there were cases when medical prescriptions were issued to dead people.


Duta also announced yesterday that CNAS signed a protocol with CEC Bank for the payment of contributions to the health insurance system, and the money can be paid now at any office or branch of the bank, without extra costs. The activity of the Bucharest House of Health Insurances (CASMB) and of the territorial branches of the institution resumed on January 17, after being suspended on January 13 for the correction of the problems that appeared in the operation of the Integrated IT System – the electronic data base of insurance beneficiaries that became operation in December 2010. During the first days of 2011, hundreds of people queued up at CNAS offices, to submit statements with the payments they made to the Health Fund. Even though authorities repeatedly asked employers to also use other means of sending their statements (by mail or online), hundreds of company representatives still came at CNAS offices to personally submit the lists.

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