Help Us Stop Fraud
Download Health Insurance Fraud: What You Should Know (PDF)
If you suspect that BCBSTX and its customers have been defrauded or are being defrauded, report the matter to the Special Investigations Department (SID) immediately. Your involvement will contribute to BCBSTX’s efforts to combat the rising cost of health care. Remember, health care fraud affects all of us, so please get involved and report your suspicions of fraud to the SID via one of the following options:
- BCBSTX Fraud Hotline: 1-800-543-0867
- Link to Blank Fraud Report: http://www.bcbstx.com/sid/reporting/
The above link takes you to the Web site of Global Compliance Services, a third-party vendor of BCBSTX. After clicking on the link, you will be directed to a blank fraud report you can use to report your suspicions of fraud to the SID. The reports can be made anonymously or in the member's name.
Mail your completed fraud report to:
Blue Cross and Blue Shield of Texas
Special Investigations Department
2400 Lakeside Boulevard, Suite 750
Richardson, Texas 75082
Fraud Awareness Training Program
As part of its Anti-Fraud Program, Blue Cross and Blue Shield of Texas (BCBSTX) created a fraud awareness training program for its customers to use to give their employees a better understanding of what health care fraud is, how it affects them, and how they can report health care fraud to the BCBSTX Special Investigations Department (SID).
To access this training program, click one of the following links:
High-Speed Internet Connection (Cable or DSL): BCBSTX Customer Training Program
Low-Speed Internet Connection (56k or 28k modem): BCBSTX Customer Training Program
ALERT - There has been an increase in the number of facilities not located in a hospital that represent themselves as "Emergency Care" treatment centers. Because these facilities are not licensed by the state as emergency facilities, Blue Cross and Blue Shield of Texas has developed criteria that a facility must meet to be considered a non-hospital based emergency room facility. Read More
