The Healthcare Forensic Management Unit (HFMU) is an information and resource sharing group which enjoys the participation of medical schemes, administrators, managed care organisations, forensic companies, and some insurers. The core focus of this unit is to address the scourge of fraud, waste and abuse (FWA) by working collaboratively with stakeholders in the healthcare sector. The HFMU is co-ordinated and administrated under the auspices of the Board of Healthcare Funders and is unique in that it is the first initiative of its kind within the healthcare industry.


The HFMU Online Portal is a secure contributory database where participants upload information on FWA investigations so that other participants are alerted of alleged FWA-related activities in relation to a specific beneficiary and / or healthcare service provider. All HFMU participants are signatories of the HFMU Participation Agreement which governs how information must be shared and the type of information members are allowed to share with each other. Through this portal, members are able to:

  • Capture and share investigations and confirmed cases of Fraud, Waste, and Abuse (FWA).
  • Receive real-time notifications on all uploaded information on the portal.
  • View history of cases uploaded by members.
  • Confirm active status of a practice number and view any associated group practice numbers.
  • View newly registered practice numbers linked to any existing practice numbers.
  • View own schemes’ exposure to investigations completed by other members.
  • View and download reports from the portal.