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Home page > Fraud

REPORT FRAUD   

It has been widely estimated that up to 10% of our nation’s spiraling health care costs are a direct result of health care fraud. Since fraud drives up the cost of health care for all of us, it is critically important that we do whatever we can to stop this crime.

We would greatly appreciate any help you can offer in bringing possible instances of fraud to our attention. Examples of fraud that we encourage you to report include:

A provider who…

A customer who…

A non-covered person who…

  • bills for services not rendered

  • bills for services that are more complex than those actually performed

  • bills for services given to his or her own family members

  • alters or falsifies a receipt or claim

  • enrolls ineligible people as spouses or dependents

  • fails to cancel coverage for former spouses or children who are no longer dependent

  • assumes the identity of a BCBSD customer

Please use the form below to report any acts or incidents which you suspect may be fraudulent or illegal. Our Internal Audit Department will investigate your report.


Reporting fraud anonymously

When completing this form, you may choose to remain anonymous. Simply leave the fields that request your name and contact information blank. Often, however, it is useful to us to be able to contact you for additional information. If you feel comfortable in doing so, please let us know who you are and/or how we might contact you. We will exercise due care in protecting your identity.

To ensure your privacy over the internet, we offer SECURE transactions which encrypt information between your computer and our server. If you have an older browser that does not support secure transactions, we recommend that you upgrade to Internet Explorer.

Name of the Person or Provider who may have done something improper or illegal:

Address of the Person or Provider who may have done something improper or illegal (if known):

Summary of what you suspect may be illegal, improper or fraudulent: 

  • Please be as specific and detailed as you can

  • Provide identification numbers (e.g. Social Security Number, Employer Identification Number), if known

Your Name:  
* Optional, you may remain anonymous if you prefer.


Your Telephone Number: 
* Optional, you may remain anonymous if you prefer.

(incl. area code) 

Email Address:  
* Optional, you may remain anonymous if you prefer


How may we contact you:?

Telephone
Email


 

 

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