How to Report Medical Insurance Fraud

Insurance fraud can be committed in a number of ways by health care providers, such as doctors and hospitals, nursing home facilities and attorneys. Fraud can be committed by sensing a bill to an insurance company for treatment that was never received or billing sensing multiple bills for the same treatment. Fraud can also be committed by selling low-cost health insurance from an insurance company that does not exist. Individuals can report instances of insurance fraud in many ways.

Difficulty: Moderately Easy

Instructions

Things You'll Need:

• Paper
• Pencil
• Printer

1. Locate the Department of Insurance for your particular state. See Resources.

2. Call your state Department of Insurance fraud hot ine to report instances of insurance fraud. You can find the fraud hot-line number on each state's Department of Insurance website. The number is toll-free.

3. Use a report form that can be printed out and mailed or faxed. You can typically print the form on the web page or download a PDF version of the form. When completing a report form be sure to include all information that is required or you think that may be important.

4. Complete a report form directly online from your state's Department of Insurance website. Online reporting forms provide a way for a state's Department of Insurance to receive detailed information about an instance of insurance fraud.

5. Report an instance of fraud to the National Insurance Crime Bureau or NICB (see Resources). The NICB is operated by the insurance industry to investigate reported instances of insurance fraud.

Tips & Warnings

• Always provide as much information as necessary and be prepared to give your name and address when contacting a state Department of Insurance.
• You should never sign blank insurance forms and always protect important insurance information such as medical records.

References

• How to Report Health Insurance Fraud to State Department of Insurance
• Report fraud
• Insurance Fraud

Resources

• Texas Department of Insurance
• http://website101.com/health-insurance/how-to-report-state-department-insurance/
• NICB