On-Line Fraud Reporting System (OFRS)

On-Line Fraud Reporting System (OFRS)

TThe On-Line Fraud Reporting System (OFRS) is a repository of suspected fraud data for participating states with full reporting capabilities. On-Line Fraud Reporting System (OFRS) is an application that provides both Industry and Consumers including NICB (National Insurance Crime Bureau) and NHCAA (National Healthcare Anti-Fraud Association) a secure central location to report fraud using the Uniform Suspected Insurance Fraud Reporting form.   

Login

iSite+ provides access to On-Line Fraud Reporting System (OFRS)  as a link under the log in categories.

Report Options

The On-Line Fraud Reporting System (OFRS) uses a number of fields built into the application that results in generating a report in real time.  In order to generate a report, the user must select the following options, such as:

  • State List;* (Mandatory Field) -  User must select a single state or use the CTRL key option to choose multiple states from the list.  The default view is 10 states, but a user may click the drop down arrow and change the display from 10 to 25 or 56.

One of the following fields must also be selected in combination with a state.

  • NAIC Fraud ID - Enter the ID, if available

  • Cocode - Enter the NAIC Company Code, if available

  • Policy Number - Enter the policy number, as applicable

  • Claim Number - Enter claim number, if available

  • Reporting Person Last Name - Enter the last name 

  • Subject/Involved Party Last Name - Enter the name of the Party in question

  • Fraud Date - Enter the date manually in the format MM/DD/YYYY or click the calendar icon to select date

  • Submitting Date Range - Enter the begin and the end date range either manually in the format MM/DD/YYYY or click the calendar icon to select date

Report Summary

Once the above mentioned options are selected the user will need to click the "Submit Search," button on the page bottom. Next, the system will process the report summary list in a separate window. The Report Summary will list all the fraud IDs found in the system in the form of links. In order to the view the individual report, the user will need to click the respective fraud ID link to view the report as PDF. 

Viewing Fraud Report

Based on the initial report format type, the fraud report generated will either be reported by the Industry, Consumer, NICB or the NHCAA.   The Fraud Report has the following distinctive sections, they are:

  • Report related logistics - lists the report type, ID, jurisdiction, NAIC #, address, and case type

  • Subject or the Interested Party Information - demographic details of the suspect

  • Claim/Incident Information - additional related information

Printing Fraud Report

The report can be printed in two ways:

  1. Click File,  Print from the menu bar, or

  2. Click Print icon, from adobe toolbar.