Health care fraud is the deliberate submission of false information to gain undeserved payment on a claim.
Abuse involves a questionable practice inconsistent with accepted medical or business policies. While not an intentional misrepresentation, it may result in unnecessary costs.
Anyone involved in health care:
Items or services on your Explanation of Benefits (EOB) which:
Fraudulent and abusive claims can affect your health care history. If a claim is filed for a service you didn't receive, this could:
While no system can provide guaranteed security, we take reasonable efforts to keep information you provide to us secure. We implement reasonable safeguards, including encryption technology and physical security at the location of the server where information is stored.
Email us at Fraud@wpsic.com, or call our toll-free fraud and abuse Hotline: 888-766-4681.