How to Report Health Care Fraud

Most health care professionals and organizations that provide services are honest. Unfortunately, there may be some who are dishonest. If you think a doctor or hospital is doing something wrong or committing fraud, please contact us.

Examples of fraud include:

  • Overusing services that you don’t need
  • A provider billing for services not done
  • False answers on an application
  • Using someone else’s ID card

Report by Phone

To report fraud, you can call Member Services at 1-877-860-2837 (TTY/TDD: 711), or the Blue Cross Community Health Plans Special Investigation Department (SID) at 1-800-543-0867. You can call 24 hours a day, Monday through Friday. Calls to the fraud hotline can be made anonymously or in your name and are always confidential.
Report Online

This online fraud reporting form can be completed and sent to the SID.

Report Online

This online fraud reporting form can be completed and sent to the SID.

Report by U.S. Mail

Blue Cross and Blue Shield
Special Investigations Department
300 E. Randolph Street, 11th Floor
Chicago, Illinois 60601

You can also report Medicaid fraud

If you have any questions, you can contact Member Services at 1-877-860-2837 (TTY/TDD: 711).

Find a Provider

Use our Provider Finder® to search for doctors and other providers.

Member Resources

See the BCCHP Blue KitSM or MLTSS Blue KitSM for details on benefits and services.

Need Help?

(TTY/TDD: 711)
The call is free.