How to Identify Recipient Fraud

Healthcare insurance fraud is a deliberate deception or misrepresentation that someone makes in order to receive benefits he or she does not deserve.

Most people are honest and hardworking. A few individuals try to manipulate the system in order to receive money or benefits they are not entitled to receive. It is a crime to commit insurance fraud and people cannot only lose their benefits but can be prosecuted as well.

Examples of fraudulent healthcare recipient activities include:

• Loaning a medical insurance card to another person
• Using someone else’s medical insurance card
• Forging or altering a prescription
• Doctor shopping in order to obtain multiple prescriptions
• Using multiple Medicaid Identification cards
• Intentionally receiving unneeded services or supplies
• Accepting cash or other bribes for receiving services
• Reselling items paid for by medical insurance payors
• Deliberately giving incorrect information to receive benefits

Suspect Fraud, Waste or Abuse?

Call Our Toll-Free Hotline:

888-205-2211