Help Us Stop Healthcare Fraud
Healthcare fraud occurs when a person or group of people intentionally deceives the healthcare system in order to receive unlawful benefits or payments. The impact of healthcare fraud is widespread and affects consumers, patients, communities, and businesses.
Between 4 –10% of all healthcare expenditures are estimated to be potentially fraudulent. This loss directly impacts patients, insurers, and government agencies through higher healthcare costs. Additionally, healthcare fraud often hurts patients who may be subjected to unnecessary or unsafe procedures or be the victims of identity theft.
Blue Cross and Blue Shield of Kansas City (Blue KC) is committed to preventing fraud in our communities, and has a team of experts in our anti-fraud department who work with local, state and federal law enforcement to detect, report and prevent healthcare fraud. That department’s biggest ally in the fight against healthcare fraud is YOU. There are several ways you can protect yourself while helping to curb healthcare fraud:
- Safeguard your insurance card by treating it the same as a credit card. Don’t lend your insurance card to others. Doing so is not only potentially criminal, but can also pose a health risk to you through inaccurate medical records.
- Beware of “free” services, especially if you’re asked to provide your insurance card. The service may not be free and could be fraudulently charged to your insurance company.
- Closely examine your Explanation of Benefits, or EOB, which you should receive in the mail following a doctor or hospital visit. Ensure the dates, places, and services billed were the ones you received.
How To Report Suspected Healthcare Fraud:
Your assistance is vital in helping to identify, investigate, and prosecute fraud. If you think you’ve experienced fraud or suspect fraudulent activity, please contact us:
- Email: _SIU@BlueKC.com
- Online: “Report Fraud Concern”
- Call our Hotline: 816-395-3151 or 800-340-0119
- Hotline for FEP Members: 816-395-2870 or 800-337-8440
Learn More: Click here to learn more about healthcare fraud.
