Fraud Abuse Member

Most providers and members are honest. Some are not. Billions of dollars are lost to health care fraud and abuse every year for services, equipment and supplies that were never provided to members, procedures that were coded at a higher level than the actual services performed, unauthorized persons using identification cards of legitimate members to obtain health care to which they were not entitled, and other fraudulent or abusive practices. If you suspect fraud or abuse, please call 1 (866) 678-8355 toll free, or  Click Here   to report suspected fraud or abuse.

To learn more about what constitutes Fraud & Abuse and for answers to related questions, please refer to the Frequently Asked Questions