R25 Billion Lost Annually to Scheme Fraud

R25 Billion Lost Annually to Scheme Fraud

Real Consultations. Verified Data. Actionable Intelligence.

Real Consultations. Verified Data. Actionable
Intelligence.

Real Consultations. Verified Data. Actionable Intelligence.

Request A Free Demo

Request A Free Demo

ABOUT US

We've helped schemes achieve

We've helped schemes achieve

250K+

Authentications

60%

Fraud reduction

97%

Authorised consultations

Medical schemes in South Africa are under siege, with an estimated R25 billion per year vanishing to fraudulent and abusive claims. This drives up operational costs, increases member premiums, and diminishes public trust in private healthcare systems.

OUR SERVICES

Authentication Services

We help schemes validate that consultations have genuinely occurred by adding a patient confirmation step. This ensures only verified consultations progress to the next stage of scheme engagement.

Authentication Services

We help schemes validate that consultations have genuinely occurred by adding a patient confirmation step. This ensures only verified consultations progress to the next stage of scheme engagement.

Authentication Services

We help schemes validate that consultations have genuinely occurred by adding a patient confirmation step. This ensures only verified consultations progress to the next stage of scheme engagement.

Verification and Profiling

Our system validates the legitimacy of healthcare providers in real-time. This reduces risk from unauthorized practitioners and helps schemes manage approved doctor networks.

Verification and Profiling

Our system validates the legitimacy of healthcare providers in real-time. This reduces risk from unauthorized practitioners and helps schemes manage approved doctor networks.

Verification and Profiling

Our system validates the legitimacy of healthcare providers in real-time. This reduces risk from unauthorized practitioners and helps schemes manage approved doctor networks.

Fraud Detection & Monitoring

We provide fraud risk insights by identifying irregular consultation patterns. Schemes gain early warnings of potential abuse through behavioural and session data analytics.

Fraud Detection & Monitoring

We provide fraud risk insights by identifying irregular consultation patterns. Schemes gain early warnings of potential abuse through behavioural and session data analytics.

Fraud Detection & Monitoring

We provide fraud risk insights by identifying irregular consultation patterns. Schemes gain early warnings of potential abuse through behavioural and session data analytics.

Regulatory & Audit Tools

CMAP generates ready-to-use reports and consultation logs for internal audits. This reduces administrative strain and helps schemes comply with industry regulations.

Regulatory & Audit Tools

CMAP generates ready-to-use reports and consultation logs for internal audits. This reduces administrative strain and helps schemes comply with industry regulations.

Regulatory & Audit Tools

CMAP generates ready-to-use reports and consultation logs for internal audits. This reduces administrative strain and helps schemes comply with industry regulations.

OUR PROCESS

01.

Identify

01.

Identify

01.

Identify

02.

Validate

02.

Validate

02.

Validate

03.

Protect

03.

Protect

03.

Protect

WHY THIS MATTERS

Dynamic

Healthcare fraud remains one of the biggest threats to the sustainability of medical schemes.
Schemes face:

Request A Free Demo

Request A Free Demo

Features

  1. Ghost consultations

  2. Duplicate or inflated claims

  3. Manipulated consultation times

  4. Irregular billing patterns

  5. High-cost manual audits

  6. Delayed fraud discovery

COMMON QUESTIONS

  1. What problem does your service solve for medical schemes?

  2. What problem does your service solve for medical schemes?

  3. Is this solution difficult to integrate into our current systems?

  4. Is this solution difficult to integrate into our current systems?

  5. How is pricing structured?

  6. How is pricing structured?

  7. Does this system comply with data privacy regulations?

  8. Does this system comply with data privacy regulations?

  9. Do you offer reporting and fraud insights?

  10. Do you offer reporting and fraud insights?

Let’s Talk

hello@cmap.co.za

Job Application

apply@cmap.co.za

Office Address

155 West St, Sandown, Sandton, 2031

Phone Number

+27 11 237 1294

© 2026 CMAP All Right Reserved

Let’s Talk

hello@cmap.co.za

Job Application

apply@cmap.co.za

Office Address

155 West St, Sandown, Sandton, 2031

Phone Number

+27 11 237 1294

© 2026 CMAP All Right Reserved

Let’s Talk

hello@cmap.co.za

Job Application

apply@cmap.co.za

Office Address

155 West St, Sandown, Sandton, 2031

Phone Number

+27 11 237 1294

© 2026 CMAP All Right Reserved

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