If you suspect you’ve discovered an insurance scheme, you can report it safely, easily and anonymously in most cases and help lower the cost everyone pays for fraud. Here are several ways…
Fraud bureau
Most states sponsor fraud bureaus that investigate insurance scams. Some states even reward whistleblowers if there’s a conviction. Check to to see if your state has an insurance fraud bureau.
Insurance company
Contact the insurance company you think was defrauded. A few insurers sponsor tollfree hotlines. Call or write if the company doesn’t have a hotline.
National Insurance Crime Bureau
Call the toll-free hotline of the National Insurance Crime Bureau 1-800-835-6422. NICB investigates insurance crimes involving property and casualty insurance, including auto and home insurance, liability insurance, and workers compensation.
Medicaid & Medicare
If you think you’ve discovered a scheme to bilk these federal health programs, call 1-800-447-8477 or click here for Medicaid information and here for Medicare information. You can also report fraud by e-mail.
Tricare. This is the government’s insurance program for the miltary. Click here to report fraud.
Crop insurance fraud
If you suspect fraud, waste or abuse in the federal crop insurance program: Call tollfree 1-800-424-9121, Monday-Friday 8am-4pm EST, or write USDA’s Office of Inspector General, P.O. Box 23399, Washington, DC 20026. Include as much detail as you can. If you write and sign your name, let them know if you wish to remain confidential.
Reporting a medical provider
Also report suspected swindles to your state medical board or chiropractic board, which oversee medical providers within their states.
Be Prepared
Be sure to include as much information as possible…
• full details of the suspected scam
• dates, names
• organizations involved, including phone numbers and addresses (if relevant)
• insurance company or companies that were defrauded or did the defrauding (if relevant)
• amount of money you think was lost
• documents and other written material
• other information you think is helpful