Report Fraud

Health care fraud is a problem that affects everyone. Dollars lost to fraud result in higher premiums. Nationwide^® is committed to the fight against fraud and you are a valuable resource. Please be vigilant and report fraud whenever you suspect it.

What information is required to report fraud?

In order to fully investigate your allegation, we will need as much of the following information as you can provide:

• Name of the person or health care provider suspected of being involved in the fraud, including the address if known
• Date(s) of service and claim number(s) in question
• Patient's name and member number
• Narrative description of the allegation. Include as much detail as possible.
• Your name
• Your telephone number or e-mail address if we may contact you

What happens after fraud is reported?

• You will receive an acknowledgement of your referral when Nationwide Special Investigations Unit* receives your allegation
• Each allegation will be investigated. You may be contacted for additional information.
• You will be advised of our findings when the investigation is complete

_{*Once received, the identity of the complainant or member will be kept strictly confidential.}