Fraud Prevention and Reporting
Fraud may cost the health care industry (both public and private payers) more than $200 billion each year* and can lead to your employees experiencing physical and mental harm as a result of schemes in which a provider performs unnecessary or dangerous procedures.
Reducing health care fraud is a collaborative effort between Blue Cross and Blue Shield of Montana (BCBSMT), our employer groups, producers, providers and members.
Report Any Suspected Incidence of Fraud
Our Special Investigations Department (SID) is one of the most effective in the industry. The staff includes individuals with medical, insurance and law enforcement backgrounds as well as data analysts experienced in detecting fraudulent billing schemes. The SID aggressively investigates reports of fraud and refers cases for criminal prosecution.
Report by Phone
The toll-free Fraud Hotline operates 24 hours a day, seven days a week. You can remain anonymous or provide information if you want to be contacted by a member of the SID.
This link takes you to the website of Global Compliance Services, an independent third-party vendor of BCBSMT. You will be directed to a blank fraud report that you can use to report your suspicions of fraud to the SID. The reports can be made on an anonymous basis or in your name.
Report by U.S. Mail
Blue Cross and Blue Shield of Montana
Special Investigations Department
PO Box 4309
Helena, MT 59604-4309