BlueCaid of Michigan fraud, waste and abuse plan
Health care fraud and abuse adversely affect everyone by increasing the costs of health care services, supplies and benefit premiums. Billing errors and fraud consume millions of health care dollars each year. Our Fraud, Waste and Abuse Plan works in partnership with Blue Cross Blue Shield of Michigan's Corporate and Financial Investigations (CFI) department to detect, prevent and investigate suspicious billing practices and health care fraud.
How to help identify fraud
You can help identify and prevent fraud by knowing what to look for when you receive health care services. Your provider should not demand payment before your medical services are rendered and should file claims only for services or medications that you have already received.
- When you receive a bill or a statement for your health care services, make sure:
- The date of service and the doctor's name are correct.
- The type of service listed matches exactly the service that was provided.
- Non-covered services are not billed as covered items.
- The diagnosis listed on the bill matches what your doctor told you.
How to report fraud, waste or abuse
Any potential case of fraud, waste or abuse related to BlueCaid, a Medicaid plan, may be reported by phone or by mail. Information may be left anonymously.
Fraud and Abuse Hotline
888-650-8136 (TTY users: 800-588-2711)
Fraud Investigations Unit
Mail Code B759
Blue Cross Blue Shield of Michigan
600 E. Lafayette Blvd.
Detroit, MI 48226
More information
For more information about health care fraud, contact the following organizations:
- The National Health Care Anti-Fraud Association (NHCAA):
Or call 202-659-5955, or email fraud@nhcaa.org - The Centers for Medicare and Medicaid Services (CMS):
Call 877-267-2323 - The Michigan Department of Community Health:
Call 517-373-3500
Note: Information you submit via e-mail is not secure and could be observed by a third party while in transit. If you are sending information you would like to keep private, it would be safer to contact us by telephone, fax, or letter.
page modified 02/17/2010