Pretexting is the threat healthcare should watch next
Pretexting is a type of social engineering where an attacker constructs a scenario or persona to deceive a victim into divulging confidential...
Pretexting is a type of social engineering attack where the attacker creates a false story, the “pretext,” to trick a person into giving away sensitive information, money, or access.
According to IBM, pretexting aims to “gain a victim’s trust and trick or manipulate them into sharing sensitive information, downloading malware, sending money to criminals or otherwise harming themselves or the organization they work for.” The article further explains that "cybercriminals—and mere terrestrial criminals—might also use pretexting alone to steal valuable information or assets from individuals or organizations.”
According to IBM, pretexting relies on two core components:
“The bad news is that there's no shortage of scenarios or sensitive data that can be leveraged by savvy social engineers,” says Verizon. The attackers could gather information from social media and corporate websites. Additionally, cybercrime forums are teeming with stolen login credentials and personal and financial data.
Pretexting is usually the first step in a larger cyberattack. When the attacker creates a believable story and gains the victim’s trust, they lay the groundwork for more damaging attacks. These include:
According to IBM, “Pretexting is common in targeted phishing attacks such as spear phishing, and whaling.”
The impact is especially severe in healthcare. According to Paubox, phishing is the leading cause of healthcare data breaches, serving as the primary entry point for cybercriminals to compromise sensitive information. As of 2024, over 70% of healthcare data breaches originated from phishing attacks.
Baiting relies on curiosity, greed, or urgency to entice victims into taking action. According to IBM, “Scammers often use pretexting to make the bait more alluring.”
Baiting examples include:
Tailgating occurs when an unauthorized person gains access to a restricted area by following someone with legitimate access. “Scammers use pretexting to make their tailgating attempts more successful—by, say, posing as a delivery person and asking an unsuspecting employee to open a locked door for them.”
Organizations can defend against pretexting attacks by strengthening people, processes, and technology. According to a Verizon article, defending against pretexting involves:
See also: HIPAA Compliant Email: The Definitive Guide (2026 Update)
Warning signs include:
Research helps attackers create more believable and personalized stories. Publicly available information can make the pretext more convincing and harder to detect
Pretexting is a type of social engineering where an attacker constructs a scenario or persona to deceive a victim into divulging confidential...
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