Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
611847.0421
Health Care
Fraud Prevention
and Reporting
Health Insurance Fraud
Blue Cross and Blue Shield of Oklahoma (BCBSOK) actively participates in inquiries to identify and appropriately address
potentially fraudulent activities. Health care fraud costs billions of dollars each year.
Health care fraud leads to:
• Higher health care costs
• Limited health care resources
• Lower consumer condence in our health care system
Examples of health care fraud include billing for:
• A service that was never performed
• A more expensive service, supply or piece of equipment other than what was really provided
• The same service twice
BCBSOK has its own Special Investigations Department (SID) to ght fraud. The SID sta includes people from diverse
backgrounds such as:
• Medical providers (doctors and nurses) • Insurance industry experts
• Professional coders • Law enforcement
SID also has a Data Intelligence Unit to partner with SID investigators to nd and stop fraud, waste and abuse.
When appropriate, SID refers fraud cases for criminal prosecution.
How do I report fraud?
If you suspect fraud, there are ways to report it.
• Report by Phone: 1-800-543-0867
The toll-free Fraud Hotline is available 24 hours a day, 7 days a week. You can remain anonymous or you can let
us know if you want to be contacted.
• Report Online: Complete a fraud report
This online fraud reporting form can be completed and sent to the SID.
• Report by U.S. Mail: Blue Cross and Blue Shield of Oklahoma
Special Investigations Department
1400 S. Boston Avenue
Tulsa, OK 74119
