Fraud Prevention
Fraud Costs Top $85 Billion a Year Nationally
Report Suspected Fraud: 1-800-336-4522 (or 410-998-5480)
Health insurance fraud has many forms, but collectively it is costing upwards of $85 billion a year, according to the US General Accounting Office. As members and providers, please help us fight fraud and protect yourself by letting us know when you encounter the following:
- An Explanation of Benefits (EOB) showing prescription drugs that are offered for free
- An Explanation of Benefits (EOB) showing prescription drugs that you did not receive or that shows providers or dates of service that are not correct
- Someone using a member ID card that is not theirs
- Billing for prescription drugs that were not provided
- Billing for prescription drugs that are more complex or expensive than the drugs provided
- Doctor shopping – visiting several doctors to obtain multiple prescriptions (often for controlled substances).
Preventing Fraud
You can help prevent fraud by keeping your member ID card in a safe place. If your ID card is stolen, report it immediately.
Reporting Fraud
You can report suspected fraud using this online form.
You can also contact our fraud hotline at 410-998-5480 or toll-free at 1-800-336-4522. Phone calls can remain anonymous.