Blue Cross Blue Shield of Michigan and Blue Care Network are committed to addressing and minimizing fraudulent activity, waste and abuse. We work with law enforcement and seek criminal prosecution through the courts when criminal activity has been identified.
Health care fraud occurs when a provider knowingly files false claims to make a profit. This includes billing incorrectly or charging for services that were never performed.
Fraud can cause higher premiums and out-of-pocket costs, and reduced benefits and coverage. It also hurts employers by driving up the costs of providing benefits to employees and doing business.