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