Report fraudulent activity
If you've noticed suspicious or fraudulent activity, please contact our fraud hotline at 1-866-441-8477 (toll free).
Alternatively, you can send a report online using our Alberta Blue Cross Fraud, Privacy and Ethics Reporting service. All information—including your identity—is kept strictly confidential and suspicions of fraudulent activity can be reported anonymously.Fill out a report
What are the consequences of committing fraud?
Where investigations uncover fraud, plan abuse, unethical or illegal activity, action needs to be taken. Health care fraud is illegal. People who commit it can face criminal prosecution and may receive fines or jail time. Plan members who receive benefits through their employer can put their employment at risk. Committing fraud can also affect a plan member’s future ability to be insured, through either Alberta Blue Cross or another benefits provider.
Health care fraud affects everybody, even those who do not commit it. Fraud can lead to
- increased benefit costs and premiums while reducing benefit packages and coverage under benefits plans;
- inaccurate or false records being created which could affect a plan member's ability to be insured, either through Alberta Blue Cross or another benefits provider; and
- reimbursement of claims paid by a plan member being denied.
Health care fraud is an intentional deception or misrepresentation that the individual or entity makes knowing that the misrepresentation could result in some unauthorized benefit to the individual, or to the entity or to some other party.
- National Health Care Anti-Fraud Association