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