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Report fraud and abuse
Learn how to recognize health care fraud and abuse and protect yourself from scams
Each year, there are a number of fraud and abuse cases that happen in the health care system. It's important to know how to recognize fraud and abuse — and learn how to protect yourself and others from becoming victims.
Why file a fraud or abuse report?
It's natural to wonder whether you should report suspected fraud or abuse. Reporting concerns helps protect you and others and may prevent future fraud, waste and abuse. Filing a report may help uncover more widespread fraud and abuse and prevent personal loss for yourself or others. It's also a valuable way to help save health care dollars for everyone. After your report is made, UnitedHealthcare works to detect, correct and prevent fraud, waste and abuse in the health care system.
Is it fraud or abuse?
It can be hard to know if the health care documents you receive are accurate. If you receive information you did not expect or that does not seem correct, it could be fraud or abuse, but it might also be an error. You’ll get answers more quickly by calling the number on the back of your member ID card and talking to a member services representative.
Learn how to recognize fraud or abuse by reviewing frequently asked questions.
How can you protect yourself against fraud and abuse?
Stay informed about recent health care fraud and abuse schemes. News outlets, websites, social media and television reports can help you understand emerging scams. Knowing what's being reported will help you be proactive and avoid becoming a victim. Remember, protect yourself and report any suspicions of fraud and abuse immediately.
Guard your card
Protecting your member ID card and personal information is one of the best ways to help prevent fraud and abuse. Review our tips and best practices to help safeguard your information – especially online and over the phone.
Report suspected fraud or abuse
If you suspect fraud, waste or abuse, report it as soon as possible using one of the options below.
- Click the button below to start an online report.
- Call the UnitedHealthcare Fraud Hotline number at 1-844-359-7736 and tell the representative you would like to make a report
- Call the phone number on your member ID card
- Call toll-free <1-800-MEDICARE (1-800-633-4227)>. TTY users can call toll-free 1-877-486-2048, 24 hours a day, 7 days a week.
Disclaimer
Please note. When you start a report, you will be sent to a third party website, NAVEX, the company that handles fraud and abuse tips for UnitedHealthcare. This is to help protect your information and ensure that fraud and abuse reports are handled in a fair and unbiased manner.