Preventing healthcare fraud
Healthcare fraud is increasing every year. Examples of health care fraud include billing for services not provided and using someone else’s identity (ID) to obtain benefits or receive payment. At Blue Shield of California Promise Health Plan, our goal is to work together with our network providers to prevent healthcare fraud.
If you suspect fraud or need guidance regarding fraud that could relate to claims or other business transactions impacting Blue Shield Promise, report it today to Blue Shield of California Special Investigations Unit:
Phone: (800)221-2367, 9 a.m. to 5 p.m., Monday through Friday
Report actual or suspected healthcare fraud online
If you suspect fraud, report it today.
Find the forms you need for authorizations, referrals, service requests, EFT enrollment, and provider disputes.