Benefits Fraud: What is it & how can you prevent it?

Benefits fraud occurs when providers, facilities, clinics, or individuals intentionally submit claims with inaccurate or misleading information about the services or treatments provided. The most common types of benefits fraud include:

  • Billing for services not rendered
  • Up-coding of goods or services
  • Submitting false claims
  • Unbundling
  • Excessive or unnecessary services
  • Kickbacks
  • Falsifying patient records
  • Co-pay activities

It’s estimated that hundreds of millions of healthcare dollars are lost to fraud each year in North America. If you suspect benefits fraud, you can help by emailing us or filling in the form below.

When filling out this form, please be as detailed as possible. If you prefer to remain anonymous, simply exclude your contact information.

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