Report Suspected Fraud
We take a proactive stance in preventing fraud and abuse for our members.

Fraud and abuse in the health care system is a serious problem. At Capital BlueCross, we maintain a staff of Special Investigators who work with other health care carriers and law enforcement agencies to detect, investigate, and prosecute persons responsible for committing health care fraud and abuse.

How you can protect your health care dollars
  • Check your Explanation of Benefits (EOB) for accuracy:
    • Dates of service
    • Services rendered
    • Charges
  • Use discretion when providing your health insurance information (contractholder ID number). Beware of offers for free health care services that ask for your insurance policy number. Guard that number as you would your credit card number.
  • Sign one claim form per visit.
  • Date your claim form. This will make it easier for you to match bills with services reported on the EOB.
Telephone Services
Toll free hotline 24 hours a day.
Callers may remain anonymous.
Email Address

Report Suspected Fraud

Please include as much information as possible (such as the name of the patient or provider, address and a summary of the allegations).

Write Us
Capital BlueCross
P.O. Box 773737
Harrisburg, PA 17177-1132
Fax Us
(717) 651.8518
Attention: Internal Audit Department
For Medicare health care fraud, you may also contact the Office of the Inspector General using this contact information.
Telephone Services
Email Address
U.S. Mail
Office of Inspector General
U.S. Department of Health and Human Services
Attention: HOTLINE
P.O. Box 23489
Washington, DC 20026

Updated March 3, 2017
Y0016_17_400 Approved 10052016