HSE Pays €2 Million Annually to Dunraven for Unpaid Private Health Insurance Claims
The HSE pays Dunraven Point of Care Limited €2 million annually to recover millions in unpaid private health insurance claims for public hospitals. This addresses administrative issues and insurer rejections, with Dunraven appealing claims to secure payments. The initiative follows significant write-offs by hospitals like Tallaght.
The Health Service Executive (HSE) pays Dunraven Point of Care Limited approximately €2 million annually to help hospitals challenge private health insurers over unpaid invoices. This initiative addresses millions of euro in payments written off by public hospitals in recent years due to issues like incorrect patient cover, unsigned claim forms, or late submissions.
At a Dáil Committee of Public Accounts hearing on June 11th, Fianna Fáil TD Paul McAuliffe highlighted millions unrecouped from private insurers. Committee chairman John Brady noted Tallaght Hospital alone wrote off nearly €2 million over five years, with almost €1 million in 2022. The Mater hospital in Dublin stated that once a claim is rejected by an insurer, there is little recourse, but Dunraven reviews rejected claims and drafts appeal letters, signed by consultants and doctors, which has led to successful appeals.
Dunraven Point of Care Limited received over €259,000 in professional fees and debt recovery services in Q1 2026, according to a public payment tracker. The Mater also cited challenges with insurers arbitrarily redefining day cases as outpatient procedures, thereby excluding them from invoicing under the Health Act of 1971, without consulting the HSE or hospitals.