Health care fraud is committed when false or misleading information is submitted to improperly increase the amount of health care benefits paid. It is a crime.
The cost of fraud affects everyone. The U.S. General Accounting Office estimates that health care fraud costs consumers approximately $35 to $60 billion dollars annually. For employers, fraud increases the cost of providing benefits and their overall cost of doing business. This translates into higher premiums and out-of-pocket costs for employees.
AmeriHealth helps to protect our members and providers from fraudulent practices through our Corporate and Financial Investigations Department, which has recovered or saved more than $4.6 million from January 1, 2004 to December 31, 2008, with an additional $358,590 identified but not yet recovered. We owe much of our success to members, doctors and other providers who have been instrumental in reporting fraud.
If you know of or suspect health insurance fraud, please report it. You are not required to provide identifying information about yourself when reporting fraud. Call the Fraud Hotline toll free 1-866-282-2707 (TTY/TDD 1-888-789-0429), 8:30 a.m. to 4:30 p.m., Monday through Friday, or use the online tip referral form.
Anti-Fraud