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
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.
Toll free hotline 24 hours a day.
Callers may remain anonymous.