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Fraud, Waste, and Abuse

You Can Make a Difference. Report Suspected Fraud.

Did You Know?

  • Health care fraud is contributing to the rising cost of health insurance.
  • Health care fraud reduces the amount of funds available to pay honest providers.
  • Health care fraud increases premiums to employers and members.
  • We will investigate allegations of fraud, waste and abuse – and reports of non-compliance on any level.
  • Our Special Investigations Unit is available as a resource to our employees, members and providers, as well as to our delegates – first tier, downstream and related entities.
  • See below for examples of fraud and more.

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If you have any questions, contact Member Services. We are here to help!,,,,,,,,,