Healthcare Fraud

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Every year, you-and every other insured American-pay at least an extra $225* for healthcare because of fraud. For a family of four, that’s $900 each year. Just as important, healthcare fraud leads to distrust among hospitals, doctors, and patients.

What to Do If You Suspect Fraud

Fraud prevention and awareness are essential to preserving affordable, quality healthcare. We offer several easy ways for you to report fraud:

Email Us
Please include the name of the suspected doctor or member; a description of the issue or incident; and the claim date and/or date of service (if applicable).

Send an email

Call Us
Call our confidential Anti-Fraud Hotline. You can leave an anonymous message 24 hours a day, seven days a week.

Submit a Form
Download and complete the Suspected Fraud Reporting Form and send it to us.
Download form

*The $225 figure is based on estimates by the National Health Care Anti-Fraud Association, which conservatively estimates losses due to fraud at 3 percent of overall healthcare costs. Law enforcement agencies and other organizations estimate that the number could be as high as 10 percent.

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