Health care fraud and abuse

How to spot 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 ask whether to report or not — but reporting suspected fraud or abuse is a vital way you can help protect yourself and others. 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 and correct.  If you receive information that isn’t what you expected or doesn’t make sense to you, it might seem like fraud or abuse. However, it might also be an error. You’ll get answers more quickly by calling the number on the back of your ID card and talking to a member services representative.

Learn how to recognize fraud or abuse by reviewing frequently asked questions.

How you can protect yourself against fraud and abuse?

Be aware of recent health care fraud and abuse schemes. Social media, internet, television and paper news are all sources for this information. 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

Keeping your ID card and personal information secure at all times is also very important. 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 an incident is fraud or abuse, you have several ways to report it. Use the button below to start an online report or call one of the following numbers.
  • Call the number on your ID card
  • Call 1-844-359-7736 if you're a UnitedHealthcare member
  • Call 1-800-MEDICARE if you're a Medicare member

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 protect your information and ensure that fraud and abuse reports are handled in a fair and unbiased manner.