Jeffrey Wade
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is committed to improving the health and well-being of its customers and communities by protecting them from healthcare fraud, waste, and abuse. Blue Cross NC has a Special Investigations Unit (SIU) that works with law enforcement and other bodies to identify, report, and prevent fraud. If you suspect insurance fraud, you can report it by mailing the SIU team, submitting an online Fraud and Abuse Report Form, or by calling or emailing the SIU team. You can also contact the North Carolina Department of Insurance, which aims to respond promptly and courteously to insurance-related complaints and help consumers understand their options.
| Characteristics | Values |
|---|---|
| Reporting to Blue Cross Blue Shield of North Carolina | Write to Anti-Fraud Unit, Mail Code AC-200, P.O. Box 24011 Columbia, SC 29224-4011 |
| Send an email | |
| Call the 24-hour confidential hotline | |
| Submit the online Fraud and Abuse Report Form | |
| Reporting to North Carolina Department of Insurance | File a complaint on the official website |
| Reporting to federal agencies | Contact the National Health Care Anti-Fraud Association |
| Contact the US Department of Health and Human Services (HHS) Office of Inspector General | |
| Contact the Federal Trade Commission | |
| Preventing fraud | Review your statement to verify accuracy |
| Ask your doctor to explain the reason for services | |
| Report any discrepancies to your health insurance plan or payer | |
| Do not answer calls from unknown numbers |
Explore related products
What You'll Learn
Report by mail to Blue Cross NC SIU, PO Box 25431, Durham, NC 27702-5431
If you wish to report suspected insurance fraud by mail, you can send your report to the Blue Cross NC Special Investigations Unit (SIU). The address is:
Blue Cross NC SIU
PO Box 25431
Durham, NC 27702-5431
The Blue Cross NC SIU is a dedicated team that works to protect Blue Cross NC members, providers, agents, and business partners from health care fraud, waste, and abuse. This helps to lower health care costs, protect personal information, and prevent future threats. The team often receives additional support from the Legal Department, Healthcare Services Department, and the Data and Analytics team.
When reporting suspected fraud, waste, or abuse, it is important to note that emails to the SIU team may not be secure, and Blue Cross NC cannot guarantee the privacy of information sent by email. Therefore, caution should be exercised when providing personal information. It is best to only provide enough information for the SIU to be able to contact you.
In addition to reporting by mail, you can also report suspected fraud by submitting an online Fraud and Abuse Report Form or by calling a 24-hour confidential hotline. Alternatively, you can send an email to [email protected], although this method is also unsecure, and personal information should be avoided.
Blue Cross Blue Shield of North Carolina also accepts mailed fraud reports at the following address:
Blue Cross Blue Shield of North Carolina
Anti-Fraud Unit Mail Code AC-200
PO Box 24011
Columbia, SC 29224-4011
The Digital Farm: Exploring the Need for Cyber Insurance in Agriculture
You may want to see also
Explore related products
Report by email to [email protected]
If you suspect insurance fraud in North Carolina, you can report it by email to [email protected]. This email address is for Blue Cross NC's Special Investigations Unit (SIU), a dedicated team that works to protect members, providers, agents, and business partners from healthcare fraud, waste, and abuse.
When reporting suspected fraud by email, it is important to note that emails may not be secure, and Blue Cross NC cannot guarantee the privacy of information sent by email. Therefore, caution should be exercised when providing personal information. It is recommended to only provide enough information for the SIU to contact you.
In addition to reporting by email, Blue Cross NC also offers an online Fraud and Abuse Report Form, which can be submitted anonymously. There is also a 24-hour confidential hotline that can be called to report suspected fraud, waste, or abuse.
Blue Cross NC's SIU works collaboratively with internal partners and external bodies, such as law enforcement and delegated entities, to identify, report, and prevent fraud, waste, and abuse. They also receive support from the Legal Department, Healthcare Services Department, and the Data and Analytics team.
By reporting suspected insurance fraud to [email protected], you can help Blue Cross NC in their mission to improve the health and well-being of their customers and communities by protecting them from the negative impacts of fraud, waste, and abuse.
Certificate of Currency: House Insurance Explained
You may want to see also
Explore related products
![MINORITY REPORT [LIMITED EDITION STEELBOOK 4K UHD + BLU-RAY + DIGITAL]](https://m.media-amazon.com/images/I/71ei+mc9AuL._AC_UY218_.jpg)
Report by calling the number on the back of your member ID card
If you suspect insurance fraud, you can report it by calling the number on the back of your member ID card. This method of reporting fraud is recommended by Blue Cross Blue Shield (BCBS) if you suspect, experience, or witness healthcare fraud or Medicare fraud.
BCBS also provides other methods to report fraud. You can submit an online Fraud and Abuse Report Form anonymously. Alternatively, you can send an email to the Special Investigations Unit (SIU) at [email protected]. However, please note that emails may not be secure, and BCBS cannot guarantee the privacy of the information sent by email. Therefore, it is recommended that you only provide enough information for the SIU team to contact you.
The Blue Cross NC SIU is a dedicated team that works collaboratively with internal partners and external bodies, such as law enforcement and delegated entities, to identify, report, and prevent fraud, waste, and abuse (FWA). The SIU also receives additional support from the Legal Department, Healthcare Services Department, and the Data and Analytics team.
You can also report suspected FWA by mailing the SIU team:
Blue Cross NC SIU
PO Box 25431
Durham, NC 27702-5431
Additionally, you can write to the Blue Cross Blue Shield of North Carolina Anti-Fraud Unit at the following address:
Blue Cross Blue Shield of North Carolina
Anti-Fraud Unit
Mail Code AC-200
P.O. Box 24011
Columbia, SC 29224-4011
Insurance Commissioner Reporting: How Frequently Is Necessary?
You may want to see also
Explore related products
![Minority Report [Blu-ray]](https://m.media-amazon.com/images/I/91BAy0P2dWL._AC_UY218_.jpg)
Report malicious or suspect robocalls and telemarketers to federal agencies
If you receive a robocall or are contacted by a telemarketer that you suspect is malicious or fraudulent, you can report it to federal agencies. Blue Cross Blue Shield of North Carolina (Blue Cross NC) works with federal, state, and local law enforcement agencies to prosecute fraud cases and encourages customers to report any suspected insurance fraud.
You can report suspected fraud to Blue Cross NC by:
- Mailing the Anti-Fraud Unit: Blue Cross Blue Shield of North Carolina, Anti-Fraud Unit, Mail Code AC-200, P.O. Box 24011, Columbia, SC 29224-4011.
- Emailing the Special Investigations Unit (SIU) team at [email protected]. Please note that emails may not be secure, so only provide enough information for the team to contact you.
- Submitting an online Fraud and Abuse Report Form. You can remain anonymous.
- Calling the 24-hour confidential hotline.
Blue Cross NC's SIU works with internal partners and external bodies, such as law enforcement, to identify, report, and prevent fraud, waste, and abuse.
You can also report malicious or fraudulent robocalls and telemarketers to the following federal agencies:
- North Carolina Department of Insurance: The department aims to respond promptly and courteously to consumers' insurance-related questions, complaints, and reports of suspected insurance fraud.
- National Health Care Anti-Fraud Association
- US Department of Health and Human Services (HHS) Office of Inspector General
- Federal Trade Commission
Additionally, if you receive a robocall that appears to be from 888.630.2583, claiming to be associated with Blue Cross Blue Shield, do not answer or hang up immediately. This number is used to receive calls from members and not to make calls. You can also block the numbers of robocalls you receive, although callers may use spoofing technology to make calls appear to come from different numbers.
Physician Salaries: The True Cost of Malpractice Insurance
You may want to see also
Explore related products
![MINORITY REPORT [4K UHD + BLU-RAY + DIGITAL]](https://m.media-amazon.com/images/I/71OtfWmyQEL._AC_UY218_.jpg)
Report to the North Carolina Department of Insurance
If you want to report Blue Cross Blue Shield of North Carolina insurance fraud to the North Carolina Department of Insurance, you have several options.
Firstly, you can submit an online Fraud and Abuse Report Form. You can choose to remain anonymous when filling out this form. Secondly, you can call the 24-hour confidential hotline to report suspected fraud. Thirdly, you can send an email to the SIU team at [email protected]. However, please note that emails may not be secure, and Blue Cross NC cannot guarantee the privacy of information sent by email. Therefore, it is recommended that you only provide enough information for the SIU to contact you.
The North Carolina Department of Insurance aims to respond promptly and courteously to consumers' insurance-related questions and complaints. They can assist in resolving complaints and help consumers understand their options for dealing with insurance-related matters. The department pledges to seek fair treatment for all parties in insurance transactions. They can help establish who was at fault in a dispute, the value of a claim, and the facts surrounding the claim. They can also forward your complaint to your insurance company and require the company to respond and take corrective action if necessary.
Home Insurance: Why So Expensive?
You may want to see also
Frequently asked questions
[email protected]. However, note that emails may not be secure and Blue Cross NC cannot guarantee the privacy of the information sent by email.
Blue Cross NC SIU, PO Box 25431, Durham, NC 27702-5431.
Blue Cross NC has a 24-hour confidential hotline that you can call to report FWA. You can find the number on the back of your member identification card.
