Understanding Healthcare Fraud
Patients and their medical insurance information can be exploited in various ways that result in increased costs and decreased confidence in the healthcare system. As part of our efforts to improve and protect the healthcare system, the Blue Cross and Blue Shield National Anti-Fraud Department is undertaking a nationwide campaign to share how physicians, healthcare providers and customers can help with healthcare fraud detection and prevention.
We encourage you to follow these general guidelines to safeguard yourself from preventable medical errors and improve the quality of care you receive.
- After care, review your statement to verify accuracy. Learn how to read your Explanation of Benefits.
- Ask your doctor to explain the reason for services
- Report any discrepancies to your health insurance plan or payer
- Beware of "free" medical services, as illicit entities use this lure to obtain information
- Safeguard your insurance card the same as you would your credit card
- Report instances where co-payments or deductibles are waived
- Don’t give your insurance number to marketers or solicitors
- Never sign a blank insurance form
If you suspect that healthcare dollars are being paid improperly or as a result of false or misleading information provided to a Blue Cross and Blue Shield company, notify your local Blue Cross and Blue Shield company.Our Partners
State Attorneys General
State Departments of Insurance
State and Local Police Departments White Collar Crime Units
State Medical Licensing and Disciplinary Boards