R1 RCM Inc. [NASDAQ:RCM], one of the nation’s largest medical debt collection companies, has been hit in a ransomware attack.

Formerly known as Accretive Health Inc., Chicago-based R1 RCM brought in revenues of $1.18 billion in 2019. The company has more than 19,000 employees and contracts with at least 750 healthcare organizations nationwide.

R1 RCM acknowledged taking down its systems in response to a ransomware attack, but otherwise declined to comment for this story.

The “RCM” portion of its name refers to “revenue cycle management,” an industry which tracks profits throughout the life cycle of each patient, including patient registration, insurance and benefit verification, medical treatment documentation, and bill preparation and collection from patients.

The company has access to a wealth of personal, financial and medical information on tens of millions of patients, including names, dates of birth, Social Security numbers, billing information and medical diagnostic data.

It’s unclear when the intruders first breached R1’s networks, but the ransomware was unleashed more than a week ago, right around the time the company was set to release its 2nd quarter financial results for 2020.

R1 RCM declined to discuss the strain of ransomware it is battling or how it was compromised. Sources close to the investigation tell KrebsOnSecurity the malware is known as Defray.

Defray was first spotted in 2017, and its purveyors have a history of specifically targeting companies in the healthcare space. According to Trend Micro, Defray usually is spread via booby-trapped Microsoft Office documents sent via email.

“The phishing emails the authors use are well-crafted,” Trend Micro wrote. For example, in an attack targeting a hospital, the phishing email was made to look like it came from a hospital IT manager, with the malicious files disguised as patient reports.

Email security company Proofpoint says the Defray ransomware is somewhat unusual in that it is typically deployed in small, targeted attacks as opposed to large-scale “spray and pray” email malware campaigns.

“It appears that Defray may be for the personal use of specific threat actors, making its continued distribution in small, targeted attacks more likely,” Proofpoint observed.

A recent report (PDF) from Corvus Insurance notes that ransomware attacks on companies in the healthcare industry have slowed in recent months, with some malware groups even dubiously pledging they would refrain from targeting these firms during the COVID-19 pandemic. But Corvus says that trend is likely to reverse in the second half of 2020 as the United States moves cautiously toward reopening.

Corvus found that while services that scan and filter incoming email for malicious threats can catch many ransomware lures, an estimated 75 percent of healthcare companies do not use this technology.

Several stories here have highlighted the importance of creating accounts online tied to your various identity, financial and communications services before identity thieves do it for you. This post examines some of the key places where everyone should plant their virtual flags.

As KrebsOnSecurity observed back in 2018, many people — particularly older folks — proudly declare they avoid using the Web to manage various accounts tied to their personal and financial data — including everything from utilities and mobile phones to retirement benefits and online banking services. From that story:

“The reasoning behind this strategy is as simple as it is alluring: What’s not put online can’t be hacked. But increasingly, adherents to this mantra are finding out the hard way that if you don’t plant your flag online, fraudsters and identity thieves may do it for you.”

“The crux of the problem is that while most types of customer accounts these days can be managed online, the process of tying one’s account number to a specific email address and/or mobile device typically involves supplying personal data that can easily be found or purchased online — such as Social Security numbers, birthdays and addresses.”

In short, although you may not be required to create online accounts to manage your affairs at your ISP, the U.S. Postal Service, the credit bureaus or the Social Security Administration, it’s a good idea to do so for several reasons.

Most importantly, the majority of the entities I’ll discuss here allow just one registrant per person/customer. Thus, even if you have no intention of using that account, establishing one will be far easier than trying to dislodge an impostor who gets there first using your identity data and an email address they control.

Also, the cost of planting your flag is virtually nil apart from your investment of time. In contrast, failing to plant one’s flag can allow ne’er-do-wells to create a great deal of mischief for you, whether it be misdirecting your service or benefits elsewhere, or canceling them altogether.

Before we dive into the list, a couple of important caveats. Adding multi-factor authentication (MFA) at these various providers (where available) and/or establishing a customer-specific personal identification number (PIN) also can help secure online access. For those who can’t be convinced to use a password manager, even writing down all of the account details and passwords on a slip of paper can be helpful, provided the document is secured in a safe place.

Perhaps the most important place to enable MFA is with your email accounts. Armed with access to your inbox, thieves can then reset the password for any other service or account that is tied to that email address.

People who don’t take advantage of these added safeguards may find it far more difficult to regain access when their account gets hacked, because increasingly thieves will enable multi-factor options and tie the account to a device they control.

Secondly, guard the security of your mobile phone account as best you can (doing so might just save your life). The passwords for countless online services can be reset merely by entering a one-time code sent via text message to the phone number on file for the customer’s account.

And thanks to the increasing prevalence of a crime known as SIM swapping, thieves may be able to upend your personal and financial life simply by tricking someone at your mobile service provider into diverting your calls and texts to a device they control.

Most mobile providers offer customers the option of placing a PIN or secret passphrase on their accounts to lessen the likelihood of such attacks succeeding, but these protections also usually fail when the attackers are social engineering some $12-an-hour employee at a mobile phone store.

Your best option is to reduce your overall reliance on your phone number for added authentication at any online service. Many sites now offer MFA options that are app-based and not tied to your mobile service, and this is your best option for MFA wherever possible.

YOUR CREDIT FILES

First and foremost, all U.S. residents should ensure they have accounts set up online at the three major credit bureaus — Equifax, Experian and Trans Union.

It’s important to remember that the questions these bureaus will ask to verify your identity are not terribly difficult for thieves to answer or guess just by referencing public records and/or perhaps your postings on social media.

You will need accounts at these bureaus if you wish to freeze your credit file. KrebsOnSecurity has for many years urged all readers to do just that, because freezing your file is the best way to prevent identity thieves from opening new lines of credit in your name. Parents and guardians also can now freeze the files of their dependents for free.

For more on what a freeze entails and how to place or thaw one, please see this post. Beyond the big three bureaus, Innovis is a distant fourth bureau that some entities use to check consumer creditworthiness. Fortunately, filing a freeze with Innovis likewise is free and relatively painless.

It’s also a good idea to notify a company called ChexSystems to keep an eye out for fraud committed in your name. Thousands of banks rely on ChexSystems to verify customers who are requesting new checking and savings accounts, and ChexSystems lets consumers place a security alert on their credit data to make it more difficult for ID thieves to fraudulently obtain checking and savings accounts. For more information on doing that with ChexSystems, see this link.

If you placed a freeze on your file at the major bureaus more than a few years ago but haven’t revisited the bureaus’ sites lately, it might be wise to do that soon. Following its epic 2017 data breach, Equifax reconfigured its systems to effectively invalidate the freeze PINs it previously relied upon to unfreeze a file, effectively allowing anyone to bypass that PIN if they can glean a few personal details about you. Experian’s site also has undermined the security of the freeze PIN.

I mentioned planting your flag at the credit bureaus first because if you plan to freeze your credit files, it may be wise to do so after you have planted your flag at all the other places listed in this story. That’s because these other places may try to check your identity records at one or more of the bureaus, and having a freeze in place may interfere with that account creation.

YOUR FINANCIAL INSTITUTIONS

I can’t tell you how many times people have proudly told me they don’t bank online, and prefer to manage all of their accounts the old fashioned way. I always respond that while this is totally okay, you still need to establish an online account for your financial providers because if you don’t someone may do it for you.

This goes doubly for any retirement and pension plans you may have. It’s a good idea for people with older relatives to help those individuals set up and manage online identities for their various accounts — even if those relatives never intend to access any of the accounts online.

This process is doubly important for parents and relatives who have just lost a spouse. When someone passes away, there’s often an obituary in the paper that offers a great deal of information about the deceased and any surviving family members, and identity thieves love to mine this information.

YOUR GOVERNMENT

Whether you’re approaching retirement, middle-aged or just starting out in your career, you should establish an account online at the U.S. Social Security Administration. Maybe you don’t believe Social Security money will actually still be there when you retire, but chances are you’re nevertheless paying into the system now. Either way, the plant-your-flag rules still apply.

Ditto for the Internal Revenue Service. A few years back, ID thieves who specialize in perpetrating tax refund fraud were massively registering people at the IRS’s website to download key data from their prior years’ tax transcripts. While the IRS has improved its taxpayer validation and security measures since then, it’s a good idea to mark your territory here as well.

The same goes for your state’s Department of Motor Vehicles (DMV), which maintains an alarming amount of information about you whether you have an online account there or not. Because the DMV also is the place that typically issues state drivers licenses, you really don’t want to mess around with the possibility that someone could register as you, change your physical address on file, and obtain a new license in your name.

Last but certainly not least, you should create an account for your household at the U.S. Postal Service’s Web site. Having someone divert your mail or delay delivery of it for however long they like is not a fun experience.

Also, the USPS has this nifty service called Informed Delivery, which lets residents view scanned images of all incoming mail prior to delivery. In 2018, the U.S. Secret Service warned that identity thieves have been abusing Informed Delivery to let them know when residents are about to receive credit cards or notices of new lines of credit opened in their names.

YOUR HOME

Online accounts coupled with the strongest multi-factor authentication available also are important for any services that provide you with telephone, television and Internet access.

Strange as it may sound, plenty of people who receive all of these services in a bundle from one ISP do not have accounts online to manage their service. This is dangerous because if thieves can establish an account on your behalf, they can then divert calls intended for you to their own phones.

My original Plant Your Flag piece in 2018 told the story of an older Florida man who had pricey jewelry bought in his name after fraudsters created an online account at his ISP and diverted calls to his home phone number so they could intercept calls from his bank seeking to verify the transactions.

If you own a home, chances are you also have an account at one or more local utility providers, such as power and water companies. If you don’t already have an account at these places, create one and secure access to it with a strong password and any other access controls available.

These frequently monopolistic companies traditionally have poor to non-existent fraud controls, even though they effectively operate as mini credit bureaus. Bear in mind that possession of one or more of your utility bills is often sufficient documentation to establish proof of identity. As a result, such records are highly sought-after by identity thieves.

Another common way that ID thieves establish new lines of credit is by opening a mobile phone account in a target’s name. A little-known entity that many mobile providers turn to for validating new mobile accounts is the National Consumer Telecommunications and Utilities Exchange, or nctue.com. Happily, the NCTUE allows consumers to place a freeze on their file by calling their 800-number, 1-866-349-5355. For more information on the NCTUE, see this page.

Have I missed any important items? Please sound off in the comments below.

Microsoft today released updates to plug at least 120 security holes in its Windows operating systems and supported software, including two newly discovered vulnerabilities that are actively being exploited. Yes, good people of the Windows world, it’s time once again to backup and patch up!

At least 17 of the bugs squashed in August’s patch batch address vulnerabilities Microsoft rates as “critical,” meaning they can be exploited by miscreants or malware to gain complete, remote control over an affected system with little or no help from users. This is the sixth month in a row Microsoft has shipped fixes for more than 100 flaws in its products.

The most concerning of these appears to be CVE-2020-1380, which is a weaknesses in Internet Explorer that could result in system compromise just by browsing with IE to a hacked or malicious website. Microsoft’s advisory says this flaw is currently being exploited in active attacks.

The other flaw enjoying active exploitation is CVE-2020-1464, which is a “spoofing” bug in virtually supported version of Windows that allows an attacker to bypass Windows security features and load improperly signed files.

Trend Micro’s Zero Day Initiative points to another fix — CVE-2020-1472 — which involves a critical issue in Windows Server versions that could let an unauthenticated attacker gain administrative access to a Windows domain controller and run an application of their choosing. A domain controller is a server that responds to security authentication requests in a Windows environment, and a compromised domain controller can give attackers the keys to the kingdom inside a corporate network.

“It’s rare to see a Critical-rated elevation of privilege bug, but this one deserves it,” said ZDI’S Dustin Childs. “What’s worse is that there is not a full fix available.”

Perhaps the most “elite” vulnerability addressed this month earned the distinction of being named CVE-2020-1337, and refers to a security hole in the Windows Print Spooler service that could allow an attacker or malware to escalate their privileges on a system if they were already logged on as a regular (non-administrator) user.

Satnam Narang at Tenable notes that CVE-2020-1337 is a patch bypass for CVE-2020-1048, another Windows Print Spooler vulnerability that was patched in May 2020. Narang said researchers found that the patch for CVE-2020-1048 was incomplete and presented their findings for CVE-2020-1337 at the Black Hat security conference earlier this month. More information on CVE-2020-1337, including a video demonstration of a proof-of-concept exploit, is available here.

Adobe has graciously given us another month’s respite from patching Flash Player flaws, but it did release critical security updates for its Acrobat and PDF Reader products. More information on those updates is available here.

Keep in mind that while staying up-to-date on Windows patches is a must, it’s important to make sure you’re updating only after you’ve backed up your important data and files. A reliable backup means you’re less likely to pull your hair out when the odd buggy patch causes problems booting the system.

So do yourself a favor and backup your files before installing any patches. Windows 10 even has some built-in tools to help you do that, either on a per-file/folder basis or by making a complete and bootable copy of your hard drive all at once.

And as ever, if you experience glitches or problems installing any of these patches this month, please consider leaving a comment about it below; there’s a better-than-even chance other readers have experienced the same and may chime in here with some helpful tips.

A group of thieves thought to be responsible for collecting millions in fraudulent small business loans and unemployment insurance benefits from COVID-19 economic relief efforts gathered personal data on people and businesses they were impersonating by leveraging several compromised accounts at a little-known U.S. consumer data broker, KrebsOnSecurity has learned.

In June, KrebsOnSecurity was contacted by a cybersecurity researcher who discovered that a group of scammers was sharing highly detailed personal and financial records on Americans via a free web-based email service that allows anyone who knows an account’s username to view all email sent to that account — without the need of a password.

The source, who asked not to be identified in this story, said he’s been monitoring the group’s communications for several weeks and sharing the information with state and federal authorities in a bid to disrupt their fraudulent activity.

The source said the group appears to consist of several hundred individuals who collectively have stolen tens of millions of dollars from U.S. state and federal treasuries via phony loan applications with the U.S. Small Business Administration (SBA) and through fraudulent unemployment insurance claims made against several states.

KrebsOnSecurity reviewed dozens of emails the fraud group exchanged, and noticed that a great many consumer records they shared carried a notation indicating they were cut and pasted from the output of queries made at Interactive Data LLC, a Florida-based data analytics company.

Interactive Data, also known as IDIdata.com, markets access to a “massive data repository” on U.S. consumers to a range of clients, including law enforcement officials, debt recovery professionals, and anti-fraud and compliance personnel at a variety of organizations.

The consumer dossiers obtained from IDI and shared by the fraudsters include a staggering amount of sensitive data, including:

-full Social Security number and date of birth;
-current and all known previous physical addresses;
-all known current and past mobile and home phone numbers;
-the names of any relatives and known associates;
-all known associated email addresses
-IP addresses and dates tied to the consumer’s online activities;
-vehicle registration, and property ownership information
-available lines of credit and amounts, and dates they were opened
-bankruptcies, liens, judgments, foreclosures and business affiliations

Reached via phone, IDI Holdings CEO Derek Dubner acknowledged that a review of the consumer records sampled from the fraud group’s shared communications indicates “a handful” of authorized IDI customer accounts had been compromised.

“We identified a handful of legitimate businesses who are customers that may have experienced a breach,” Dubner said.

Dubner said all customers are required to use multi-factor authentication, and that everyone applying for access to its services undergoes a rigorous vetting process.

“We absolutely credential businesses and have several ways do that and exceed the gold standard, which is following some of the credit bureau guidelines,” he said. “We validate the identity of those applying [for access], check with the applicant’s state licensor and individual licenses.”

Citing an ongoing law enforcement investigation into the matter, Dubner declined to say if the company knew for how long the handful of customer accounts were compromised, or how many consumer records were looked up via those stolen accounts.

“We are communicating with law enforcement about it,” he said. “There isn’t much more I can share because we don’t want to impede the investigation.”

The source told KrebsOnSecurity he’s identified more than 2,000 people whose SSNs, DoBs and other data were used by the fraud gang to file for unemployment insurance benefits and SBA loans, and that a single payday can land the thieves $20,000 or more. In addition, he said, it seems clear that the fraudsters are recycling stolen identities to file phony unemployment insurance claims in multiple states.

ANALYSIS

Hacked or ill-gotten accounts at consumer data brokers have fueled ID theft and identity theft services of various sorts for years. In 2013, KrebsOnSecurity broke the news that the U.S. Secret Service had arrested a 24-year-old man named Hieu Minh Ngo for running an identity theft service out of his home in Vietnam.

Ngo’s service, variously named superget[.]info and findget[.]me, gave customers access to personal and financial data on more than 200 million Americans. He gained that access by posing as a private investigator to a data broker subsidiary acquired by Experian, one of the three major credit bureaus in the United States.

Experian was hauled before Congress to account for the lapse, and assured lawmakers there was no evidence that consumers had been harmed by Ngo’s access. But as follow-up reporting showed, Ngo’s service was frequented by ID thieves who specialized in filing fraudulent tax refund requests with the Internal Revenue Service, and was relied upon heavily by an identity theft ring operating in the New York-New Jersey region.

Also in 2013, KrebsOnSecurity broke the news that ssndob[.]ms, then a major identity theft service in the cybercrime underground, had infiltrated computers at some of America’s large consumer and business data aggregators, including LexisNexis Inc., Dun & Bradstreet, and Kroll Background America Inc.

In 2006, The Washington Post reported that a group of five men used stolen or illegally created accounts at LexisNexis subsidiaries to lookup SSNs and other personal information more than 310,000 individuals. And in 2004, it emerged that identity thieves masquerading as customers of data broker Choicepoint had stolen the personal and financial records of more than 145,000 Americans.

Those compromises were noteworthy because the consumer information warehoused by these data brokers can be used to find the answers to so-called knowledge-based authentication (KBA) questions used by companies seeking to validate the financial history of people applying for new lines of credit.

In that sense, thieves involved in ID theft may be better off targeting data brokers like IDI and their customers than the major credit bureaus, said Nicholas Weaver, a researcher at the International Computer Science Institute and lecturer at UC Berkeley.

“This means you have access not only to the consumer’s SSN and other static information, but everything you need for knowledge-based authentication because these are the types of companies that are providing KBA data.”

The fraud group communications reviewed by this author suggest they are cashing out primarily through financial instruments like prepaid cards and a small number of online-only banks that allow consumers to establish accounts and move money just by providing a name and associated date of birth and SSN.

While most of these instruments place daily or monthly limits on the amount of money users can deposit into and withdraw from the accounts, some of the more popular instruments for ID thieves appear to be those that allow spending, sending or withdrawal of between $5,000 to $7,000 per transaction, with high limits on the overall number or dollar value of transactions allowed in a given time period.

KrebsOnSecurity is investigating the extent to which a small number of these financial instruments may be massively over-represented in the incidence of unemployment insurance benefit fraud at the state level, and in SBA loan fraud at the federal level. Anyone in the financial sector or state agencies with information about these apparent trends may confidentially contact this author at krebsonsecurity @ gmail dot com, or via the encrypted message service Wickr at “krebswickr“.

The looting of state unemployment insurance programs by identity thieves has been well documented of late, but far less public attention has centered on fraud targeting Economic Injury Disaster Loan (EIDL) and advance grant programs run by the U.S. Small Business Administration in response to the COVID-19 crisis.

Late last month, the SBA Office of Inspector General (OIG) released a scathing report (PDF) saying it has been inundated with complaints from financial institutions reporting suspected fraudulent EIDL transactions, and that it has so far identified $250 million in loans given to “potentially ineligible recipients.” The OIG said many of the complaints were about credit inquiries for individuals who had never applied for an economic injury loan or grant.

The figures released by the SBA OIG suggest the financial impact of the fraud may be severely under-reported at the moment. For example, the OIG said nearly 3,800 of the 5,000 complaints it received came from just six financial institutions (out of several thousand across the United States). One credit union reportedly told the U.S. Justice Department that 59 out of 60 SBA deposits it received appeared to be fraudulent.

Perhaps fittingly, a Web-streamed court hearing for the 17-year-old alleged mastermind of the July 15 mass hack against Twitter was cut short this morning after mischief makers injected a pornographic video clip into the proceeding.

The incident occurred at a bond hearing held via the videoconferencing service Zoom by the Hillsborough County, Fla. criminal court in the case of Graham Clark. The 17-year-old from Tampa was arrested earlier this month on suspicion of social engineering his way into Twitter’s internal computer systems and tweeting out a bitcoin scam through the accounts of high-profile Twitter users.

Notice of the hearing was available via public records filed with the Florida state attorney’s office. The notice specified the Zoom meeting time and ID number, essentially allowing anyone to participate in the proceeding.

Even before the hearing officially began it was clear that the event would likely be “zoom bombed.” That’s because while participants were muted by default, they were free to unmute their microphones and transmit their own video streams to the channel.

Sure enough, less than a minute had passed before one attendee not party to the case interrupted a discussion between Clark’s attorney and the judge by streaming a live video of himself adjusting his face mask. Just a few minutes later, someone began interjecting loud music.

It became clear that presiding Judge Christopher C. Nash was personally in charge of administering the video hearing when, after roughly 15 seconds worth of random chatter interrupted the prosecution’s response, Nash told participants he was removing the troublemakers as quickly as he could.

What transpired a minute later was almost inevitable given the permissive settings of this particular Zoom conference call: Someone streamed a graphic video clip from Pornhub for approximately 15 seconds before Judge Nash abruptly terminated the broadcast.

With the ongoing pestilence that is the COVID-19 pandemic, the nation’s state and federal courts have largely been forced to conduct proceedings remotely via videoconferencing services. While Zoom and others do offer settings that can prevent participants from injecting their own audio and video into the stream unless invited to do so, those settings evidently were not enabled in today’s meeting.

At issue before the court today was a defense motion to modify the amount of the defendant’s bond, which has been set at $750,000. The prosecution had argued that Clark should be required to show that any funds used toward securing that bond were gained lawfully, and were not merely the proceeds from his alleged participation in the Twitter bitcoin scam or some other form of cybercrime.

Mr. Clark’s attorneys disagreed, and spent most of the uninterrupted time in today’s hearing explaining why their client could safely be released under a much smaller bond and close supervision restrictions.

On Sunday, The New York Times published an in-depth look into Clark’s wayward path from a small-time cheater and hustler in online games like Minecraft to big-boy schemes involving SIM swapping, a form of fraud that involves social engineering employees at mobile phone companies to gain control over a target’s phone number and any financial, email and social media accounts associated with that number.

According to The Times, Clark was suspected of being involved in a 2019 SIM swapping incident which led to the theft of 164 bitcoins from Gregg Bennett, a tech investor in the Seattle area. That theft would have been worth around $856,000 at the time; these days 164 bitcoins is worth approximately $1.8 million.

The Times said that soon after the theft, Bennett received an extortion note signed by Scrim, one of the hacker handles alleged to have been used by Clark. From that story:

“We just want the remainder of the funds in the Bittrex,” Scrim wrote, referring to the Bitcoin exchange from which the coins had been taken. “We are always one step ahead and this is your easiest option.”

In April, the Secret Service seized 100 Bitcoins from Mr. Clark, according to government forfeiture documents. A few weeks later, Mr. Bennett received a letter from the Secret Service saying they had recovered 100 of his Bitcoins, citing the same code that was assigned to the coins seized from Mr. Clark.

Florida prosecutor Darrell Dirks was in the middle of explaining to the judge that investigators are still in the process of discovering the extent of Clark’s alleged illegal hacking activities since the Secret Service returned the 100 bitcoin when the porn clip was injected into the Zoom conference.

Ultimately, Judge Nash decided to keep the bond amount as is, but to remove the condition that Clark prove the source of the funds.

Clark has been charged with 30 felony counts and is being tried as an adult. Federal prosecutors also have charged two other young men suspected of playing roles in the Twitter hack, including a 22-year-old from Orlando, Fla. and a 19-year-old from the United Kingdom.