In all of our clinics and facilities front desk staff also ask for a Driver's license and in most all cases we see it, but we DO NOT for ID theft purposes make a copy of it. We tell the pt. that for insurance fraud purposes we need to verify who they are, some of our sites when asking for the DL will ask if they would like to mask their DL number and provide them with a piece of masking tape to do so before the pt. hands their DL to the Rep. If a pt. does not want to show their DL then we ask for other forms of ID such as their work badge and our other offical documents. If they cannot provide either, staff are instructed to have pt. complete all NP paperwork and we still see them. Yes, ID/Insurance Fraud is a major concern for all and you would figure because all of our sites are very close to the Mexican boarder that we would encouter a huge volume of ID fraud so that a pt. could receive medical care but with the 8 hospitals and 28 clinics that me and my peers here in Compliance are in charge of we very rarely encounter it. It would appear how to handle the scenario would be an case by case office policy because there is no law, at least not here in CA. that states we can refuse a pt medical care simply because they want to protect their identity. Again, under no circumstances do we make copies of a pt's DL