What is done so that innocent people aren’t accidentally accused of being fraudsters?
The CANATICS tool has a high threshold for what it will identify as unusual or suspicious claims activity. Only a very small percentage of claims result in an alert being sent to a member insurance company.
A CANATICS alert is not proof. It is a notification to an insurer that there may be something unusual going on. At that point, CANATICS’ work is done. It is up to the insurer to decide whether to look into the claim.
An investigation into a claim must be conducted by the insurer before it can be deemed fraudulent.