Report Fraud, Waste and Abuse

If you suspect fraud, waste or abuse in the healthcare system, you can report it to UnitedHealthcare South Florida’s Special Investigation Unit and we’ll investigate. Your actions may help to improve the healthcare system and reduce costs.


What is Fraud, Waste and Abuse?

  • Billing for medical services that weren’t ordered or provided
  • Billing for durable medical equipment items that weren’t ordered or provided
  • Making sure you do not pay a facility, provider or pharmacy any more than your plan requires. You should also check to be sure that they are only billing for services you received.

To protect yourself from fraud, thoroughly review your Explanation of Benefits (EOB) after you receive healthcare services. If you see something that doesn’t look right, you should report the situation right away.


How to Report Fraud, Waste and Abuse

To report suspected fraud, waste or abuse, you can contact UnitedHealthcare South Florida’s Special Investigation Unit at:

Phone:

(800) 455-4521, TTY 711 Toll-free

E-mail:

ReportFraud@UHCSouthFlorida.com

Mail:

P.O. Box 56-5748
Miami, FL 33256-5748

You may remain anonymous and you are protected from retaliation.

Or you may report suspected Medicare fraud directly to the US Department of Health and Human Services, Center for Medicare and Medicaid Services, Office of the Inspector General.

Phone:

(800) 447-8477, TTY (800) 377-4950

Fax:

(800) 223-8164

Internet:

oig.hhs.gov/report-fraud

Mail:

Office of the Inspector General
Department of Health and Human Services
Attention: HOTLINE
PO Box 23489
Washington, DC 20026


Special Investigations Online Referral Form

Briefly describe your concern, including background, persons involved, events, dates and locations.



The information below is not required, but if you provide it, we will only use it for contacting you if we have any questions.


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