Health Care Service Corporation's Anti-Fraud Efforts Showcase Insurers' Role in Protecting Employers' and Health Plan Members' Health Care Spending
Amount of fraud in the system serves as cautionary note for proposed
The unparalleled ability to successfully combat fraud is one of the vital contributions to the health care system that the private health insurance sector makes, and among the most successful in fighting fraud has been Health Care Service Corporation (HCSC), the country's fourth largest health insurer and operator of the Blue Cross and Blue Shield plans in
Recently, HCSC's Special Investigations Department uncovered a scheme involving fraudulent Medicare and private health insurance claims totaling
In addition to providing millions of dollars in savings for its customers, HCSC's investigation protocol has been recognized by the Blue Cross and Blue Shield Association as an industry model of how a health plan and law enforcement authorities can work together to identify and end fraudulent claims activity.
About Health Care Service Corporation
Health Care Service Corporation is the country's largest customer-owned health insurer and fourth largest health insurer overall, with 12.4 million members in its Blue Cross and Blue Shield plans in
SOURCE Health Care Service Corporation