Insurance Fraud and Abuse

Health care fraud and abuse affects all of us — by increasing the cost of health care and health care coverage premiums. To combat fraud and abuse, Blue Cross and Blue Shield of Florida's Special Investigation Unit (SIU) conducts investigations when a fraudulent insurance act is suspected or has been committed, such as billing for a service that was never rendered, the duplicate submission of a claim for the same service and misrepresenting the services provided.

If you believe that you have information relating to health care fraud and/or abuse, file an Insurance Fraud and Abuse Report to our Special Investigation Unit. We review all such reports and may contact you if additional information is needed. Allegations that show sufficient evidence to support possible fraudulent activity may be assigned for investigation.

Reports can be completed and submitted online, or you can download a form in PDF format, complete it and mail it to us. If you are unable to complete one of the forms below, you may call the Special Investigation Unit at the number below. To access the appropriate form, click a link below and follow the instructions provided:

Insurance Fraud and Abuse Report - Online Format
Insurance Fraud and Abuse Report - PDF Format

For more information:

Contact our Special Investigation Unit at 1-800-678-8355