The National Healthcare Anti-Fraud Association estimates that fraud costs Americans over $50 billion every year. Altered billing of services, forged documents and computer technology are used illegally to collect billions of dollars from you and your health benefits card.Health Benefits Card Fraud And How It Affects You

Health benefits card fraud costs Americans an estimated $63 billion dollars annually.

Health benefits card fraud is committed by a multitude of individuals including medical providers, members as well as drug store pharmacies.

Health benefits card fraud increases the cost of healthcare for everyone

Health benefits card fraud jeopardizes the overall healthcare of consumers

Common Types Of Health Benefits Card Fraud

Health Services Not Rendered

Billing for health services that were not rendered to the member

Misrepresentation of Health Benefit Services

Billing for a covered health service when an uncovered service was actually rendered

Medically Unnecessary Health Benefit Services

Billing for services that are not necessary for the treatment of the member

Up coding Services

Billing for health benefit services that are more complex and at a higher reimbursement than the actual service provided

Unbundling Service

Billing for health benefit services separately instead of billing the code that includes multiple services

Misrepresentation of Identity (member/provider)

Falsely receiving or billing for services under a covered member's identity

Doctor Shopping

Receiving various narcotic medications from a multitude of physicians through deceit

Misrepresentation of Eligible Dependents

Maintaining eligibility for or adding an individual who does not legally qualify for benefits under the Program

What You Can Do To Combat Health Benefits Card Fraud?

Many people have had disastrous experiences in the past with medical discount card schemes. So we welcome you with open arms to real health insurance that will accept you for who you are.

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