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Fraud and Abuse for Members

Tips to Identify Health Care Fraud

Blue Cross Blue Shield of Arizona knows that one of the best defenses against fraudulent activity is an alert consumer. The following tips can help you to identify health care fraud:

  • Closely examine your "Explanations of Benefits" to make sure the service billed was the service received when you visited a health care provider. If there is a difference, call the health care provider first since it may be a clerical error.
  • Be cautious of free medical exams, co-payment waivers or advertisements stating, "covered by insurance." When it sounds too good to be true, it probably is.
  • Take note if you seem to be paying unusually high charges for regular services.
  • Understand your benefits.
  • Think of your health insurance ID card as being as valuable as your credit card. If lost or stolen, it could be used to gain access to drugs and services that may appear on your medical history.

Report Fraud & Abuse

Blue Cross Blue Shield of Arizona's Special Investigations Unit maintains a confidential hotline to report suspected fraud or abuse.


You may request to remain anonymous.Business hours are Monday through Friday from 8.00 to 4.30 MST. Messages may be left outside business hours.


Call us at:
(602) 864-4875 or
(800) 232-2345 ext. 4875