Fight Healthcare Fraud

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responsivegrid cmp-fwc-container-width---full aem-GridColumn aem-GridColumn--default--12">  <style> /* desktop viewport */ @media only screen and (min-width: 601px) { #text-image-container-69b1011d25 { background:url(\2f content\2f dam\2f digital\2f fight-healthcare-fraud\2fimages\2fmother-child-desktop-v7.jpg) no-repeat center center; clear: both; background-color: ; } } /* mobile viewport */ @media only screen and (max-width: 600px) { #text-image-container-69b1011d25 { background:url(\2f content\2f dam\2f digital\2f fight-healthcare-fraud\2fimages\2fwhite-background.jpg) no-repeat center center; background-size: contain; background-color:; } } </style>  <div id="text-image-container-69b1011d25" class="margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero cmp-container text-image-container align-center image-left left-align-top "> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--5 aem-GridColumn--offset--default--2 aem-GridColumn--offset--phone--0"> <div id="container-ae7fd8d33e" class="margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container " style="background-color:#f7f7f7"> <div class="aem-Grid aem-Grid--5 aem-Grid--default--5 aem-Grid--phone--12 "> <div class="text rte-style-primary aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--5"> <div class="richTextEditor margin-top-24 margin-bottom-24 m-margin-top-48 m-margin-bottom-48 richTextEditor "> <div style="padding-left: 32.0px;padding-right: 32.0px;"><h1><span style="color: rgb(35,30,51);">What You Should Know About Healthcare Fraud, Waste & Abuse</span></h1> </div> </div></div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--5 aem-GridColumn--offset--default--0"> <div id="container-6d9f1eb6b1" class="margin-top-zero margin-bottom-zero m-margin-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--5 aem-Grid--default--5 "> </div> </div> </div> </div> </div> </div> <div class="text-image-container container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="text-image-container-870fc0a97d" class="margin-top-128 margin-bottom-128 m-margin-top-32 m-margin-bottom-96 cmp-container align-center image-left left-align-top " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-52677a033e" class="margin-top-zero margin-bottom-zero m-margin-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--6 "> <div class="image aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--6 aem-GridColumn aem-GridColumn--default--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"><div data-cmp-is="image" data-cmp-src="/_jcr_content/root/text_image_container_1702935888/container/image.coreimg{.width}.jpeg/1729255210440/mother-at-laptop-dad-holding-baby-wp-3-6-1-desktop.jpeg" data-asset="/content/dam/digital/wellpoint/images/mother-at-laptop-dad-holding-baby-wp-3-6-1-desktop.jpg" data-asset-id="4800654d-4507-4f40-8527-61f08b895df5" class="image-container cmp-image margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-24 padding-top-zero padding-bottom-zero padding-left-zero padding-right-zero m-padding-top-zero m-padding-bottom-zero m-padding-left-zero m-padding-right-zero rounded-image " itemscope itemtype="http://schema.org/ImageObject" id="image-c87de0a07b"> <picture class="lazyload-img" data-alt data-role="presentation"> <source media="(max-width:767px)" srcset="//assets.anthem.com/is/image/anthem/mother-at-laptop-dad-holding-baby-wp-3-6-1-desktop?$defaultResponsive$" alt role="presentation" class="lazyload-img"/> <source media="(min-width:768px)" srcset="//assets.anthem.com/is/image/anthem/mother-at-laptop-dad-holding-baby-wp-3-6-1-desktop?$defaultResponsive$" alt role="presentation"/> <img data-src="/_jcr_content/root/text_image_container_1702935888/container/image.coreimg.jpeg/1729255210440/mother-at-laptop-dad-holding-baby-wp-3-6-1-desktop.jpeg" alt role="presentation" class="lazyload-img"/> </picture> </div> </div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-2947bf2a36" class="margin-top-zero margin-bottom-zero m-margin-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 "> <div class="text rte-style-primary aem-GridColumn aem-GridColumn--default--6"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor "> <h2 style="text-align: left;"><span style="color: rgb(35,30,51);">Help keep yourself and your loved ones safe</span></h2> <p style="text-align: left;"> </p> <p style="text-align: left;">Healthcare <strong>fraud, waste and abuse</strong> affects everyone. So let’s make sure you know what it is, how to spot it and how to help us prevent it. What is it exactly? Well, fraud is when someone intentionally lies to a health insurance company, Medicaid or Medicare to get money. Waste is when someone overuses health services carelessly. And abuse happens when best medical practices aren’t followed, leading to expenses and treatments that aren’t needed.</p> <p> </p> </div></div> </div> </div> </div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="container-e4b1b2cec1" class="margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--12 aem-GridColumn--offset--default--0"> <div class="richTextEditor margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 richTextEditor comp-global-fade-up"> <h2 style="text-align: center;"><span style="color: rgb(35,30,51);">How Can I Help?</span></h2> <p style="text-align: center;"> </p> <p style="text-align: center;">You can help us spot scams and unusual activity tied to your health plan by understanding a few simple things:</p> </div></div> </div> </div> </div> <div class="text-image-container container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="text-image-container-041086bfee" class="margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero cmp-container image-left left-align-top " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-fe522649bd" class="margin-top-zero margin-bottom-zero m-margin-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--6 "> <div class="icon-text-block rte-style-primary aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--6 aem-GridColumn aem-GridColumn--default--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--1"> <div class="margin-top-zero margin-bottom-48 m-margin-top-zero m-margin-bottom-32 icon-n-text-com comp-global-fade-up"> <div class="lazyload-fade-up animate-desktop-only no-animation"> <div class="a-stretch icon-n-text-com_block"> <div class="icon-n-text-com__image__text__container"> <div class="icon-n-text-com__image__text"> <div class="icon-n-text-com__image__container top-icon" style="flex-basis: 20; "> <div class="icon-n-text-com__image__container top-icon" style="flex-basis: 20; "> <img data-src="/content/dam/digital/fight-healthcare-fraud/icons/group.svg" alt=" """ class="tni-tile__img lazyload-img icon-n-text-com__image" aria-hidden="true"/> </div> </div> <div class="icon-n-text-com__text"> <div class="secondary icon-n-text-com__text__desc richTextEditor"> <p><strong>Watch out for freebies</strong></p> <p>If you get offered free products or extra services, or you see ads that say “covered by insurance,” be careful.</p> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-00daafff8b" class="margin-top-zero margin-bottom-zero m-margin-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--6 "> <div class="icon-text-block rte-style-primary aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--6 aem-GridColumn aem-GridColumn--default--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div class="margin-top-zero margin-bottom-48 m-margin-top-zero m-margin-bottom-32 icon-n-text-com comp-global-fade-up"> <div class="lazyload-fade-up animate-desktop-only no-animation"> <div class="a-stretch icon-n-text-com_block"> <div class="icon-n-text-com__image__text__container"> <div class="icon-n-text-com__image__text"> <div class="icon-n-text-com__image__container top-icon" style="flex-basis: 20; "> <div class="icon-n-text-com__image__container top-icon" style="flex-basis: 20; "> <img data-src="/content/dam/digital/fight-healthcare-fraud/icons/article.svg" alt=" """ class="tni-tile__img lazyload-img icon-n-text-com__image" aria-hidden="true"/> </div> </div> <div class="icon-n-text-com__text"> <div class="secondary icon-n-text-com__text__desc richTextEditor"> <p><strong>Avoid identity theft</strong></p> <p>Don’t leave your ID card exposed, and report it if it’s lost or stolen.</p> <p> </p> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="text-image-container container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="text-image-container-d30f9b5488" class="margin-top-zero margin-bottom-128 m-margin-top-zero m-margin-bottom-96 cmp-container image-left left-align-top " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-f2abd629a5" class="margin-top-zero margin-bottom-zero m-margin-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--6 "> <div class="icon-text-block rte-style-primary aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--6 aem-GridColumn aem-GridColumn--default--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--1"> <div class="margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero icon-n-text-com "> <div class="lazyload-fade-up animate-desktop-only no-animation"> <div class="a-stretch icon-n-text-com_block"> <div class="icon-n-text-com__image__text__container"> <div class="icon-n-text-com__image__text"> <div class="icon-n-text-com__image__container top-icon" style="flex-basis: 20; "> <div class="icon-n-text-com__image__container top-icon" style="flex-basis: 20; "> <img data-src="/content/dam/digital/fight-healthcare-fraud/icons/icons-2.svg" alt=" """ class="tni-tile__img lazyload-img icon-n-text-com__image" aria-hidden="true"/> </div> </div> <div class="icon-n-text-com__text"> <div class="secondary icon-n-text-com__text__desc richTextEditor"> <p><strong>Review your explanation of benefits (EOB)</strong></p> <p>Your EOB is a snapshot of your doctor’s visit. When you receive it in the mail or access it online, make sure the services listed on it match the services you actually received. To learn more, watch the <a aria-label="Understanding Your E O B video. Opens in a new window." href="http://players.brightcove.net/3639471564001/S1K1jbPV_default/index.html?videoId=5516146170001" target="_blank" data-analytics-name="Understanding Your EOB video" data-analytics-context="Icon & Text" data-icons="-- Select an Icon --" data-iconpos="end"><u><span style="font-size: 16.0px;">Understanding Your EOB video</span></u></a>.</p> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-b205503439" class="margin-top-zero margin-bottom-zero m-margin-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 "> </div> </div> </div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="why-it-matters" class="margin-top-zero margin-bottom-48 m-margin-top-zero m-margin-bottom-32 padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--10 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--1"> <div class="richTextEditor margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 richTextEditor comp-global-fade-up"> <h2 style="text-align: center;"><span style="color: rgb(35,30,51);">Why It Matters</span></h2> <p style="text-align: center;"> </p> <p style="text-align: center;">When healthcare professionals or any person engages in healthcare fraud, waste and abuse, it has an impact on you. Take a look at how this growing problem makes things harder for you and your loved ones by selecting the panels below.</p> </div></div> </div> </div> </div> <div class="text-image-container container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="text-image-container-96fe7060d8" class="margin-top-zero margin-bottom-48 m-margin-top-zero m-margin-bottom-24 cmp-container image-left left-align-top " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-ff7ffc18d1" class="margin-top-zero margin-bottom-zero m-margin-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--6 "> <div class="bounding-box container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"><div id="," class="bounding-box fwc-card-generic hover flat"> <div class="margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 comp-global-fade-up"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--12 "> <div class="image aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0 aem-GridColumn--default--1"><div data-cmp-is="image" data-cmp-src="/_jcr_content/root/text_image_container_853402019/container/bounding_box_copy/image.coreimg{.width}.svg/1729255211167/costs.svg" data-asset="/content/dam/digital/fight-healthcare-fraud/icons/costs.svg" data-asset-id="823f4142-995d-4cd9-baa3-751c1ae1e295" class="image-container cmp-image margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 padding-top-override-16 padding-bottom-override-32 padding-left-zero padding-right-zero m-padding-top-zero m-padding-bottom-zero m-padding-left-zero m-padding-right-zero " itemscope itemtype="http://schema.org/ImageObject" id="image-fbc4d97e5d"> <picture class="lazyload-img" data-alt data-role="presentation"> <source media="(max-width:767px)" srcset="/content/dam/digital/fight-healthcare-fraud/icons/costs.svg" alt role="presentation" class="lazyload-img"/> <source media="(min-width:768px)" srcset="/content/dam/digital/fight-healthcare-fraud/icons/costs.svg" alt role="presentation"/> <img data-src="/_jcr_content/root/text_image_container_853402019/container/bounding_box_copy/image.coreimg.svg/1729255211167/costs.svg" alt role="presentation" class="lazyload-img"/> </picture> </div> </div> <div class="text rte-style-primary aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor comp-global-fade-up"> <p><strong>Increased Costs</strong></p> <p> </p> <p>Losses due to fraud can put a big dent in your wallet</p> </div></div> <div class="horizontal-separator aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 comp-global-fade-up"> <div class="fwc-divider thin"></div> </div></div> <div class="text rte-style-primary aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="richTextEditor margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 richTextEditor "> <p>Healthcare fraud is a significant issue that has a considerable financial impact on the nation. According to the National Health Care Anti-Fraud Association (NHCAA), the financial losses due to healthcare fraud are estimated to be in the tens of billions of dollars each year. A conservative estimate puts the cost at about 3% of total healthcare expenditures, while other estimates range as high as 10% of annual healthcare spending. This could mean more than $300 billion annually, given the size of healthcare expenditure in the United States.</p> </div></div> </div> </div> </div></div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-5d36330465" class="margin-top-zero margin-bottom-zero m-margin-top-24 m-margin-bottom-zero padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--6 "> <div class="bounding-box container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"><div id="," class="bounding-box fwc-card-generic hover flat"> <div class="margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 comp-global-fade-up"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--12 "> <div class="image aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0 aem-GridColumn--default--1"><div data-cmp-is="image" data-cmp-src="/_jcr_content/root/text_image_container_853402019/container_386228866/bounding_box_copy_co/image.coreimg{.width}.svg/1729255211299/secure.svg" data-asset="/content/dam/digital/fight-healthcare-fraud/icons/secure.svg" data-asset-id="88fded4c-1d8a-4260-a784-c9e9f0921274" class="image-container cmp-image margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 padding-top-zero padding-bottom-zero padding-left-zero padding-right-zero m-padding-top-zero m-padding-bottom-zero m-padding-left-zero m-padding-right-zero " itemscope itemtype="http://schema.org/ImageObject" id="image-c6e0bdbccb"> <picture class="lazyload-img" data-alt data-role="presentation"> <source media="(max-width:767px)" srcset="/content/dam/digital/fight-healthcare-fraud/icons/secure.svg" alt role="presentation" class="lazyload-img"/> <source media="(min-width:768px)" srcset="/content/dam/digital/fight-healthcare-fraud/icons/secure.svg" alt role="presentation"/> <img data-src="/_jcr_content/root/text_image_container_853402019/container_386228866/bounding_box_copy_co/image.coreimg.svg/1729255211299/secure.svg" alt role="presentation" class="lazyload-img"/> </picture> </div> </div> <div class="text rte-style-primary aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor comp-global-fade-up"> <p><strong>Identity Theft</strong></p> <p> </p> <p>Costs you time and money and can compromise your safety</p> </div></div> <div class="horizontal-separator aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 comp-global-fade-up"> <div class="fwc-divider thin"></div> </div></div> <div class="text rte-style-primary aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="richTextEditor margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 richTextEditor "> <p>Medical identity theft is a big problem. Not only does it cost you time and money, but if someone steals your information to get services or submit false claims, they can also compromise your safety. The thief could use up all your benefits, and then you wouldn’t be able to use them when you need care. Plus, a compromised health record could put you at risk for receiving treatments you don’t actually need or even keep you from getting life insurance in the future.</p> <p> </p> <p> </p> </div></div> </div> </div> </div></div> </div> </div> </div> </div> </div> </div> <div class="text-image-container container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="text-image-container-f1ef3747e8" class="margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero cmp-container image-left left-align-top " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-b0e0ee9b0c" class="margin-top-zero margin-bottom-zero m-margin-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--6 "> <div class="bounding-box container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"><div id="," class="bounding-box fwc-card-generic hover flat"> <div class="margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 comp-global-fade-up"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--12 "> <div class="image aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0 aem-GridColumn--default--1"><div data-cmp-is="image" data-cmp-src="/_jcr_content/root/text_image_container_1715787570/container/bounding_box_copy_co/image.coreimg{.width}.svg/1729255211452/icons-2.svg" data-asset="/content/dam/digital/fight-healthcare-fraud/icons/icons-2.svg" data-asset-id="c3d06345-10ea-46f2-9074-9af64a85f9fe" class="image-container cmp-image margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero padding-top-zero padding-bottom-zero padding-left-zero padding-right-zero m-padding-top-zero m-padding-bottom-zero m-padding-left-zero m-padding-right-zero " itemscope itemtype="http://schema.org/ImageObject" id="image-08bb5f8fc7"> <picture class="lazyload-img" data-alt data-role="presentation"> <source media="(max-width:767px)" srcset="/content/dam/digital/fight-healthcare-fraud/icons/secure.svg" alt role="presentation" class="lazyload-img"/> <source media="(min-width:768px)" srcset="/content/dam/digital/fight-healthcare-fraud/icons/icons-2.svg" alt role="presentation"/> <img data-src="/_jcr_content/root/text_image_container_1715787570/container/bounding_box_copy_co/image.coreimg.svg/1729255211452/icons-2.svg" alt role="presentation" class="lazyload-img"/> </picture> </div> </div> <div class="text rte-style-primary aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="richTextEditor margin-top-32 margin-bottom-zero m-margin-top-24 m-margin-bottom-zero richTextEditor comp-global-fade-up"> <p><strong>Health Risks</strong></p> <p> </p> <p>Fraudulent medical history increases your health risks</p> </div></div> <div class="horizontal-separator aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 comp-global-fade-up"> <div class="fwc-divider thin"></div> </div></div> <div class="text rte-style-primary aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="richTextEditor margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 richTextEditor "> <p>When you go to the doctor, your medical history, along with your current symptoms, help the doctor decide how to treat you. Sadly, some untrustworthy healthcare professionals may put your health at risk for the sake of their own benefit and order services or procedures you don’t really need.</p> <p> </p> </div></div> </div> </div> </div></div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-5d8777d13b" class="margin-top-zero margin-bottom-zero m-margin-top-24 m-margin-bottom-zero padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--6 "> <div class="bounding-box container responsivegrid aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"><div id="," class="bounding-box fwc-card-generic hover flat"> <div class="margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 comp-global-fade-up"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--12 "> <div class="image aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--phone--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0 aem-GridColumn--default--1"><div data-cmp-is="image" data-cmp-src="/_jcr_content/root/text_image_container_1715787570/container_386228866/bounding_box_copy_co/image.coreimg{.width}.svg/1729255211589/security.svg" data-asset="/content/dam/digital/fight-healthcare-fraud/icons/security.svg" data-asset-id="877b72d7-ac5b-487d-b15d-e6549617b324" class="image-container cmp-image margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 padding-top-override-24 padding-bottom-zero padding-left-zero padding-right-zero m-padding-top-zero m-padding-bottom-zero m-padding-left-zero m-padding-right-zero " itemscope itemtype="http://schema.org/ImageObject" id="image-40a80b7b30"> <picture class="lazyload-img" data-alt data-role="presentation"> <source media="(max-width:767px)" srcset="/content/dam/digital/fight-healthcare-fraud/icons/security.svg" alt role="presentation" class="lazyload-img"/> <source media="(min-width:768px)" srcset="/content/dam/digital/fight-healthcare-fraud/icons/security.svg" alt role="presentation"/> <img data-src="/_jcr_content/root/text_image_container_1715787570/container_386228866/bounding_box_copy_co/image.coreimg.svg/1729255211589/security.svg" alt role="presentation" class="lazyload-img"/> </picture> </div> </div> <div class="text rte-style-primary aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor comp-global-fade-up"> <p><strong>Security Clearances</strong><br /> </p> <p> </p> <p>Past unresolved issues could become red flags</p> </div></div> <div class="horizontal-separator aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 comp-global-fade-up"> <div class="fwc-divider thin"></div> </div></div> <div class="text rte-style-primary aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--6"> <div class="richTextEditor margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 richTextEditor "> <p>Many jobs require a government security clearance. If you’ve been a victim of healthcare fraud, waste and abuse and never resolved the issue, you may not be able to get a security clearance because of your compromised health records.</p> <p> </p> <p> </p> <p> </p> </div></div> </div> </div> </div></div> </div> </div> </div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="see-examples" class="margin-top-128 margin-bottom-96 m-margin-top-96 m-margin-bottom-64 padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--10 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--1"> <div class="richTextEditor margin-top-zero margin-bottom-32 m-margin-top-zero m-margin-bottom-24 richTextEditor "> <h2 style="text-align: center;"><span style="color: rgb(35,30,51);">Healthcare Fraud, Waste and Abuse Examples</span></h2> <p style="text-align: center;"> </p> <p style="text-align: center;">Healthcare fraud, waste and abuse can take many forms, which makes it hard to spot. Here’s a breakdown of the most common types. Please select a tab to learn more.</p> </div></div> <div class="wellpoint-accordion accordion aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--10 aem-GridColumn--offset--default--1"><div class="wellpoint-cmp-accordion wellpoint-accordion wellpoint-outer-container " id="acc-fhc" data-cmp-is="accordion" single-expansion="false"> <div class="wellpoint-cmp-accordion__item wellpoint-accordion__item m-margin-top-16 m-margin-bottom-16" data-cmp-hook-accordion="item" style="margin-top: 16px; margin-bottom: 16px;"> <div></div> <div> <a aria-expanded="false" role="button" id="acc-fhc-Accordion-1" class="wellpoint-cmp-accordion__header " style=" padding-top: 16px; padding-bottom: 16px; padding-left: 16px; padding-right: 16px" data-analytics-name="Falsifying Records or Claims" data-mouse-click="false" data-analytics-context="Accordion" href="#"> <p class="wellpoint-cmp-accordion__button H3_Headline" data-cmp-hook-accordion="button"> <span class="wellpoint-cmp-accordion__title">Falsifying Records or Claims</span> <span class="wellpoint-cmp-accordion__icon"></span> </p> <span class="accordion_icon"></span> </a> <div data-cmp-hook-accordion="panel" class="wellpoint-cmp-accordion__panel" aria-hidden="true"><div class="container fwc-layout-container responsivegrid"> <div id="container-23676e7efa" class=" cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--10 aem-Grid--default--10 "> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn aem-GridColumn--offset--default--0 aem-GridColumn--default--1"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p><i style="color: rgb(26,54,115);font-size: 64.0px;" class="rte-icon i-document-1"> </i> </p> </div></div> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn--default--9 aem-GridColumn aem-GridColumn--offset--default--0"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p style="text-align: left;">Doctors perform a procedure that isn’t covered by your health plan, so they bill us for a different service that’s covered by your plan. For example, they perform a tummy tuck but bill us for a hernia repair.<br /> </p> </div></div> </div> </div> </div> </div> </div> </div> <div class="wellpoint-cmp-accordion__item wellpoint-accordion__item m-margin-top-16 m-margin-bottom-16" data-cmp-hook-accordion="item" style="margin-top: 16px; margin-bottom: 16px;"> <div></div> <div> <a aria-expanded="false" role="button" id="acc-fhc-Accordion-2" class="wellpoint-cmp-accordion__header " style=" padding-top: 16px; padding-bottom: 16px; padding-left: 16px; padding-right: 16px" data-analytics-name="Doctor Shopping" data-mouse-click="false" data-analytics-context="Accordion" href="#"> <p class="wellpoint-cmp-accordion__button H3_Headline" data-cmp-hook-accordion="button"> <span class="wellpoint-cmp-accordion__title">Doctor Shopping</span> <span class="wellpoint-cmp-accordion__icon"></span> </p> <span class="accordion_icon"></span> </a> <div data-cmp-hook-accordion="panel" class="wellpoint-cmp-accordion__panel" aria-hidden="true"><div class="container fwc-layout-container responsivegrid"> <div id="container-b9bbea48e9" class=" cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--10 aem-Grid--default--10 "> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn aem-GridColumn--offset--default--0 aem-GridColumn--default--1"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p><i style="color: rgb(26,54,115);font-size: 64.0px;" class="rte-icon i-shopping-cart"> </i> </p> </div></div> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn--default--9 aem-GridColumn aem-GridColumn--offset--default--0"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p>Healthcare professionals aren’t the only ones capable of abusing the system. In this case, a member decides to visit many doctors, pharmacies or emergency rooms to get multiple prescriptions for the same medicine.<br /> </p> </div></div> </div> </div> </div> </div> </div> </div> <div class="wellpoint-cmp-accordion__item wellpoint-accordion__item m-margin-top-16 m-margin-bottom-16" data-cmp-hook-accordion="item" style="margin-top: 16px; margin-bottom: 16px;"> <div></div> <div> <a aria-expanded="false" role="button" id="acc-fhc-Accordion-3" class="wellpoint-cmp-accordion__header " style=" padding-top: 16px; padding-bottom: 16px; padding-left: 16px; padding-right: 16px" data-analytics-name="Using Brand-Name Drugs" data-mouse-click="false" data-analytics-context="Accordion" href="#"> <p class="wellpoint-cmp-accordion__button H3_Headline" data-cmp-hook-accordion="button"> <span class="wellpoint-cmp-accordion__title">Using Brand-Name Drugs</span> <span class="wellpoint-cmp-accordion__icon"></span> </p> <span class="accordion_icon"></span> </a> <div data-cmp-hook-accordion="panel" class="wellpoint-cmp-accordion__panel" aria-hidden="true"><div class="container fwc-layout-container responsivegrid"> <div id="container-959633456f" class=" cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--10 aem-Grid--default--10 "> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn aem-GridColumn--offset--default--0 aem-GridColumn--default--1"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p><i style="color: rgb(26,54,115);font-size: 64.0px;" class="rte-icon i-pharmacy"> </i> </p> </div></div> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn--default--9 aem-GridColumn aem-GridColumn--offset--default--0"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p>A doctor prescribes a brand-name drug when there’s a lower-cost generic option that works exactly the same way.<br /> </p> </div></div> </div> </div> </div> </div> </div> </div> <div class="wellpoint-cmp-accordion__item wellpoint-accordion__item m-margin-top-16 m-margin-bottom-16" data-cmp-hook-accordion="item" style="margin-top: 16px; margin-bottom: 16px;"> <div></div> <div> <a aria-expanded="false" role="button" id="acc-fhc-Accordion-4" class="wellpoint-cmp-accordion__header " style=" padding-top: 16px; padding-bottom: 16px; padding-left: 16px; padding-right: 16px" data-analytics-name="Upcoding" data-mouse-click="false" data-analytics-context="Accordion" href="#"> <p class="wellpoint-cmp-accordion__button H3_Headline" data-cmp-hook-accordion="button"> <span class="wellpoint-cmp-accordion__title">Upcoding</span> <span class="wellpoint-cmp-accordion__icon"></span> </p> <span class="accordion_icon"></span> </a> <div data-cmp-hook-accordion="panel" class="wellpoint-cmp-accordion__panel" aria-hidden="true"><div class="container fwc-layout-container responsivegrid"> <div id="container-c5c24fb776" class=" cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--10 aem-Grid--default--10 "> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn aem-GridColumn--offset--default--0 aem-GridColumn--default--1"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p><i style="color: rgb(26,54,115);font-size: 64.0px;" class="rte-icon i-rotate-right"> </i> </p> </div></div> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn--default--9 aem-GridColumn aem-GridColumn--offset--default--0"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p>Say you’re not feeling well and you head to the doctor’s office. When you get there, only a nurse is available to see you. Upcoding happens when your doctor’s office bills the insurance company as if you saw the doctor, which is a more expensive service.<br /> </p> </div></div> </div> </div> </div> </div> </div> </div> <div class="wellpoint-cmp-accordion__item wellpoint-accordion__item m-margin-top-16 m-margin-bottom-16" data-cmp-hook-accordion="item" style="margin-top: 16px; margin-bottom: 16px;"> <div></div> <div> <a aria-expanded="false" role="button" id="acc-fhc-Accordion-5" class="wellpoint-cmp-accordion__header " style=" padding-top: 16px; padding-bottom: 16px; padding-left: 16px; padding-right: 16px" data-analytics-name="Unbundling" data-mouse-click="false" data-analytics-context="Accordion" href="#"> <p class="wellpoint-cmp-accordion__button H3_Headline" data-cmp-hook-accordion="button"> <span class="wellpoint-cmp-accordion__title">Unbundling</span> <span class="wellpoint-cmp-accordion__icon"></span> </p> <span class="accordion_icon"></span> </a> <div data-cmp-hook-accordion="panel" class="wellpoint-cmp-accordion__panel" aria-hidden="true"><div class="container fwc-layout-container responsivegrid"> <div id="container-6d5a727040" class=" cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--10 aem-Grid--default--10 "> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn aem-GridColumn--offset--default--0 aem-GridColumn--default--1"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p><i style="color: rgb(26,54,115);font-size: 64.0px;" class="fa fa-tree"> </i> </p> </div></div> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn--default--9 aem-GridColumn aem-GridColumn--offset--default--0"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p>This one's interesting because the services are covered, but they're billed separately so the practice can make more money. For example, a doctor bills the insurance company for several different tests as if they were done separately when you really just had one comprehensive test done.<br /> </p> </div></div> </div> </div> </div> </div> </div> </div> <div class="wellpoint-cmp-accordion__item wellpoint-accordion__item m-margin-top-16 m-margin-bottom-16" data-cmp-hook-accordion="item" style="margin-top: 16px; margin-bottom: 16px;"> <div></div> <div> <a aria-expanded="false" role="button" id="acc-fhc-Accordion-6" class="wellpoint-cmp-accordion__header " style=" padding-top: 16px; padding-bottom: 16px; padding-left: 16px; padding-right: 16px" data-analytics-name="Billing for Services You Never Had" data-mouse-click="false" data-analytics-context="Accordion" href="#"> <p class="wellpoint-cmp-accordion__button H3_Headline" data-cmp-hook-accordion="button"> <span class="wellpoint-cmp-accordion__title">Billing for Services You Never Had</span> <span class="wellpoint-cmp-accordion__icon"></span> </p> <span class="accordion_icon"></span> </a> <div data-cmp-hook-accordion="panel" class="wellpoint-cmp-accordion__panel" aria-hidden="true"><div class="container fwc-layout-container responsivegrid"> <div id="container-1d151e27f2" class=" cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--10 aem-Grid--default--10 "> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn aem-GridColumn--offset--default--0 aem-GridColumn--default--1"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p><i style="color: rgb(26,54,115);font-size: 64.0px;" class="rte-icon i-document-1"> </i> </p> </div></div> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn--default--9 aem-GridColumn aem-GridColumn--offset--default--0"> <div class="richTextEditor margin-top-32 margin-bottom-32 m-margin-top-24 m-margin-bottom-24 richTextEditor comp-global-fade-up"> <p>Sometimes when you visit the doctor, not much happens. That's normally a good thing, but some doctors see this as an opportunity to bill the insurance company for services that were never performed on you.<br /> </p> </div></div> </div> </div> </div> </div> </div> </div> </div></div> </div> </div> </div> <div class="text-image-container container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="text-image-container-eac47f66e0" class="margin-top-zero margin-bottom-128 m-margin-top-zero m-margin-bottom-96 cmp-container align-center image-left left-align-top " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="container-e478bcd31e" class="margin-top-zero margin-bottom-zero m-margin-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 aem-Grid--phone--6 "> <div class="image aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--6 aem-GridColumn aem-GridColumn--default--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"><div data-cmp-is="image" data-cmp-src="/_jcr_content/root/text_image_container/container/image.coreimg{.width}.jpeg/1737705081073/spottingscams.jpeg" data-asset="/content/dam/digital/fight-healthcare-fraud/images/spottingscams.jpeg" data-asset-id="a5b3af10-d5c1-4a57-8f75-86732395b848" data-title="Senior mid 60s aged woman calculating bank fee with computer." class="image-container cmp-image margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-24 padding-top-zero padding-bottom-zero padding-left-zero padding-right-zero m-padding-top-zero m-padding-bottom-zero m-padding-left-zero m-padding-right-zero rounded-image " itemscope itemtype="http://schema.org/ImageObject" id="image-ba311d394c"> <picture class="lazyload-img" data-alt data-role="presentation"> <source media="(max-width:767px)" srcset="//assets.anthem.com/is/image/anthem/spottingscams?$defaultResponsive$" alt role="presentation" class="lazyload-img"/> <source media="(min-width:768px)" srcset="//assets.anthem.com/is/image/anthem/spottingscams?$defaultResponsive$" alt role="presentation"/> <img data-src="/_jcr_content/root/text_image_container/container/image.coreimg.jpeg/1737705081073/spottingscams.jpeg" alt role="presentation" class="lazyload-img"/> </picture> <meta itemprop="caption" content="Senior mid 60s aged woman calculating bank fee with computer."/> </div> </div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--default--0"> <div id="spotting-scams" class="margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container " style="background-color:"> <div class="aem-Grid aem-Grid--6 aem-Grid--default--6 "> <div class="text rte-style-primary aem-GridColumn aem-GridColumn--default--6"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor comp-global-fade-up"> <h2><span style="color: rgb(35,30,51);">Spotting Scams</span></h2> <p> </p> <p>Tackling healthcare fraud, waste and abuse takes team work. Here you’ll see how we can partner and combat it together. Our main priority is to keep you safe. So we keep a watchful eye on fraud, waste and abuse in all its forms. Some of the ways our investigative team fights scams include:</p> <p> </p> <p class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 20.0px;" class="rte-icon i-checked"> </i>Looking carefully at claims and the information in them to spot red flags</p> <p> </p> <p class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 20.0px;" class="rte-icon i-checked"> </i>Keeping a close eye on doctors’ billing patterns for weird or suspicious charges</p> <p> </p> <p class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 20.0px;" class="rte-icon i-checked"> </i>Working with other healthcare companies to track suspicious activity</p> <p> </p> <p class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 20.0px;" class="rte-icon i-checked"> </i>Partnering with law enforcement to investigate potential fraud</p> <p> </p> <p class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 20.0px;" class="rte-icon i-checked"> </i>Training all our employees to spot unusual claims</p> </div></div> </div> </div> </div> </div> </div> </div> <div class="card-container aem-GridColumn aem-GridColumn--default--12"> <div class="new-card-container-section margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero" style="padding-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; background-color: #1a3773"> <div> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text-image-container container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="text-image-container-308f4b08d7" class="margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero cmp-container align-center image-left left-align-bottom " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--7 aem-GridColumn--offset--default--0"> <div id="container-1c3976cf73" class="margin-top-96 margin-bottom-96 m-margin-top-zero m-margin-bottom-64 padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--7 aem-Grid--default--7 aem-Grid--phone--7 "> <div class="text rte-style-primary aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--7 aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor comp-global-fade-up"> <h2><span style="color: rgb(255,255,255);">Report It</span></h2> <p><span style="color: rgb(255,255,255);"> </span></p> <p><span style="color: rgb(255,255,255);">You’re our best ally when it comes to preventing healthcare fraud, waste and abuse.</span></p> <p><span style="color: rgb(255,255,255);"> </span></p> <p><span style="color: rgb(255,255,255);">If you think you or one of your dependents has been a victim of healthcare fraud, waste or abuse, report it by calling the Member Services number on the back of your ID card or use the button below to fill out and submit a report online.</span></p> </div></div> <div class="standalone-cta aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn--phone--7 aem-GridColumn aem-GridColumn--default--6 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"> <div class="margin-top-32 margin-bottom-zero m-margin-top-24 m-margin-bottom-zero mobile-cta-center cta__container "> <a class="fwc-btn fwc-btn-secondary standaloneCtaModel.ctaType " role="link" ontouchstart aria-label="Submit Report Online link" href="/report-fraud-form" target="_self" data-analytics-additionalcontext="Submit Report Online" data-analytics-context="Standalone CTA" data-analytics-name="Submit Report Online"> <span>Submit Report Online</span> </a> </div> </div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width---full aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--5 aem-GridColumn--offset--default--0"> <div id="container-b4ca0a90a3" class="margin-top-96 margin-bottom-96 m-margin-top-64 m-margin-bottom-zero padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container comp-global-fade-up" style="background-color:"> <div class="aem-Grid aem-Grid--5 aem-Grid--default--5 aem-Grid--phone--5 "> <div class="image aem-GridColumn--default--none aem-GridColumn--phone--none aem-GridColumn aem-GridColumn--default--5 aem-GridColumn--phone--5 aem-GridColumn--offset--phone--0 aem-GridColumn--offset--default--0"><div data-cmp-is="image" data-cmp-src="/_jcr_content/root/card_container_copy/first-one/text_image_container/container_386228866/image.coreimg{.width}.jpeg/1737705079758/reportit.jpeg" data-asset="/content/dam/digital/fight-healthcare-fraud/images/reportit.jpeg" data-asset-id="f0e3841a-e706-41b7-9e14-1b8c2934b5d4" data-title="Indian man talking on mobile phone, working from home. Portrait of pensive asian businessman using laptop computer, planning project, communication in modern office" class="image-container cmp-image margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-24 padding-top-zero padding-bottom-zero padding-left-zero padding-right-zero m-padding-top-zero m-padding-bottom-zero m-padding-left-zero m-padding-right-zero rounded-image " itemscope itemtype="http://schema.org/ImageObject" id="image-afba18ed58"> <picture class="lazyload-img" data-alt data-role="presentation"> <source media="(max-width:767px)" srcset="//assets.anthem.com/is/image/anthem/reportit?$defaultResponsive$" alt role="presentation" class="lazyload-img"/> <source media="(min-width:768px)" srcset="//assets.anthem.com/is/image/anthem/reportit?$defaultResponsive$" alt role="presentation"/> <img data-src="/_jcr_content/root/card_container_copy/first-one/text_image_container/container_386228866/image.coreimg.jpeg/1737705079758/reportit.jpeg" alt role="presentation" class="lazyload-img"/> </picture> <meta itemprop="caption" content="Indian man talking on mobile phone, working from home. Portrait of pensive asian businessman using laptop computer, planning project, communication in modern office"/> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> </div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="contact-us" class="margin-top-128 margin-bottom-zero m-margin-top-96 m-margin-bottom-zero padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="text rte-style-primary aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--12 aem-GridColumn--offset--phone--0"> <div class="richTextEditor margin-top-zero margin-bottom-48 m-margin-top-zero m-margin-bottom-32 richTextEditor "> <h2 style="text-align: center;"><span style="color: rgb(35,30,51);">Contact Us</span></h2> <p style="text-align: center;"> </p> <p style="text-align: center;">If you prefer to call or report anonymously, contact us at your state’s designated fraud hotline: </p> </div></div> </div> </div> </div> <div class="fwc-grid fwc-column-control aem-GridColumn aem-GridColumn--default--12"><div class="fwc-grid" style="background-color: "> <div class="fwc-row margin-top-16 margin-bottom-48 m-margin-top-zero m-margin-bottom-24 padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero"> <div class="fwc-col-2 md-12 sm-12 "> </div> <div class="fwc-col-2 md-12 sm-12 "> <div class="text rte-style-primary"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor "> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>California</strong>:<br /> <a data-analytics-name="1-888-231-5044" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8882315044" aria-label="California 1 888 231 5044">1-888-231-5044</a></p> <p style="text-align: left;"> </p> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Colorado:</strong> <br /> <a data-analytics-name="1-800-377-2227" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8003772227" aria-label="Colorado 1 800 377 2227">1-800-377-2227</a></p> <p style="text-align: left;" class="rte-icon-parent"> </p> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Connecticut:</strong> <br /> <a data-analytics-name="1-800-258-3258" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8002583258" aria-label="Connecticut 1 800 258 3258">1-800-258-3258</a></p> <p style="text-align: left;" class="rte-icon-parent"> </p> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Georgia:</strong> <br /> <a data-analytics-name="1-800-831-8998" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8008318998" aria-label="Georgia 1 800 831 8998">1-800-831-8998</a></p> </div></div> </div> <div class="fwc-col-2 md-12 sm-12 "> <div class="text rte-style-primary"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor "> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Indiana</strong>:<br /> <a data-analytics-name="1-877-283-1524" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8772831524" aria-label="Indiana 1 877 283 1524">1-877-283-1524</a></p> <p style="text-align: left;" class="rte-icon-parent"> </p> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Kentucky</strong>:<br /> <a data-analytics-name="1-800-866-1186" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8008661186" aria-label="Kentucky 1 800 866 1186">1-800-866-1186</a></p> <p style="text-align: left;"> </p> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Maine:</strong> <br /> <a data-analytics-name="1-800-285-7424" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8002857424" aria-label="Maine 1 800 285 7424">1-800-285-7424</a></p> <p style="text-align: left;" class="rte-icon-parent"> </p> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Missouri:</strong> <br /> <a data-analytics-name="1-888-451-1155" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8884511155" aria-label="Missouri 1 888 451 1155">1-888-451-1155</a></p> </div></div> </div> <div class="fwc-col-2 md-12 sm-12 "> <div class="text rte-style-primary"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor "> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Nevada:</strong> <br /> <a data-analytics-name="1-800-377-2227" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8003772227" aria-label="Nevada 1 800 377 2227">1-800-377-2227</a></p> <p style="text-align: left;" class="rte-icon-parent"> </p> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>New Hampshire:</strong> <br /> <a data-analytics-name="1-800-203-3738" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8002033738" aria-label="New Hampshire 1 800 203 3738">1-800-203-3738</a></p> <p style="text-align: left;" class="rte-icon-parent"> </p> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>New York</strong>:<br /> <a data-analytics-name="1-800-423-7283" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8004237283" aria-label="New York 1 800 423 7283">1-800-423-7283</a></p> <p style="text-align: left;"> </p> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Ohio</strong>:<br /> <a data-analytics-name="1-800-848-9276" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8008489276" aria-label="Ohio 1 800 848 9276">1-800-848-9276</a></p> </div></div> </div> <div class="fwc-col-2 md-12 sm-12 "> <div class="text rte-style-primary"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor "> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Virginia:</strong> <br /> <a data-analytics-name="1-800-368-3580" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8003683580" aria-label="Virginia 1 800 368 3580">1-800-368-3580</a></p> <p style="text-align: left;"> </p> <p style="text-align: left;" class="rte-icon-parent"><i style="color: rgb(68,184,243);font-size: 24.0px;" class="rte-icon i-icons8-phone"> </i><strong>Wisconsin:</strong> <br /> <a data-analytics-name="1-800-544-3873" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8005443873" aria-label="Wisconsin 1 800 544 3873">1-800-544-3873</a></p> </div></div> </div> <div class="fwc-col-2 md-12 sm-12 "> </div> </div> </div></div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="contact-us" class="margin-top-zero margin-bottom-128 m-margin-top-16 m-margin-bottom-64 padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--phone--12 "> <div class="text rte-style-primary aem-GridColumn--phone--none aem-GridColumn--phone--12 aem-GridColumn aem-GridColumn--default--12 aem-GridColumn--offset--phone--0"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor "> <p style="text-align: center;"><strong>State not listed? <a data-analytics-name="1-866-847-8247" data-analytics-context="Text" aria-label="State Not Listed 1-866-847-8247" data-icons="-- Select an Icon --" data-iconpos="end" href="tel:1-8668478247">1-866-847-8247</a></strong></p> <p style="text-align: center;"> </p> <p style="text-align: center;">Prefer to submit a confidential referral with our web form? <a href="https://www.fighthealthcarefraud.com/report-fraud-form/" target="_self" data-analytics-name="Click here" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end" aria-label="Report Abuse Form"><u>Click here</u></a>.</p> </div></div> </div> </div> </div> <div class="container fwc-layout-container responsivegrid cmp-fwc-container-width--fixed aem-GridColumn aem-GridColumn--default--12"> <div id="container-437fa83f61" class="margin-top-zero margin-bottom-64 m-margin-top-zero m-margin-bottom-48 padding-top-zero padding-bottom-zero m-padding-top-zero m-padding-bottom-zero cmp-container " style="background-color:"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text rte-style-primary aem-GridColumn aem-GridColumn--default--12"> <div class="richTextEditor margin-top-zero margin-bottom-zero m-margin-top-zero m-margin-bottom-zero richTextEditor "> <p><strong>Sources</strong>:</p> <p>1. National Healthcare Anti-Fraud Association website: The Challenge of Healthcare Fraud (accessed April 2017): <a aria-label="n h c a a.org. Opens in a new window." href="https://www.nhcaa.org/" target="_blank" data-analytics-name="nhcaa.org" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end">nhcaa.org</a>.</p> <p>2. FBI archives website: Medicare Fraud Strike Force Charges 107 Individuals for Approximately $452 Million in False Billing (accessed April 2017):<a aria-label="FBI Archives for medicare fraud. Opens in a new window." href="http://archives.fbi.gov/archives/neworleans/press-releases/2012/medicare-fraud-strike-force-charges-107-individuals-for-approximately-452-million-in-false-billing" target="_blank" data-analytics-name="archives.fbi.gov/archives/neworleans/press-releases/2012/medicare-fraud-strike-force-charges-107-individuals-for-approximately-452-million-in-false-billing" data-analytics-context="Text" data-icons="-- Select an Icon --" data-iconpos="end"> archives.fbi.gov/archives/neworleans/press-releases/2012/medicare-fraud-strike-force-charges-107-individuals-for-approximately-452-million-in-false-billing</a>.</p> <p>3. U.S. Department of State website: All About Security Clearances (accessed April 2017): state.gov/m/ds/clearances/c10978.htm.</p> <p>4. HealthAffairs website: Reducing Waste in Healthcare (accessed April 2017): <a aria-label="health affairs org. 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