Health care fraud is a serious issue and it can affect everyone, including you.
Results of health care fraud may be inaccurate medical records, lost benefits, increased premiums and medical expenses.
Health care fraud is the intentional misrepresentation of information to gain undeserved payment for a claim.
Abuse involves a questionable practice, which is inconsistent with accepted medical or business policies. Although it is not an intentional misrepresentation, it may result in unnecessary costs.
Protecting yourself from identity theft during Open Enrollment
Identity theft occurs when someone obtains your personal information and uses it to bill for medical supplies and services. It is always important to protect your Medicare and health plan insurance numbers, but be especially careful during Open Enrollment. Never give out your Social Security, Medicare or health plan insurance numbers to someone you don’t know. And of course, carefully review your plan statement to ensure all the information is correct.
Besides those precautions, please be wary if any of the following occur:
To report suspected identity theft or fraud, call (877) 249-2176 or email us at email@example.com.
Be wary of persons calling you and offering “free” gift cards in exchange for your insurance or credit card information.
To protect yourself never give your personal information to someone you don’t know. If you receive a telephone call or voice message, hang up and do not press any keys or numbers when prompted even if it is to be removed from their list.
If you suspect services have been submitted to your Prevea360 Health Plan account that you did not receive, contact us on our Fraud Hotline (877) 249-2176 or email us at firstname.lastname@example.org.
Use our online form to report suspected health care fraud or abuse. This form is completely confidential and you may remain anonymous. Important information you will need to provide to allow the issue to be reviewed is:
If you have questions about fraud awareness or to discuss a potential case of abuse, contact us at (877) 249-2176 or via email special.investigation@Prevea360.com..