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Fraud

How to Detect Fraud and What to do

If something doesn't seem right about your medical bills, for example, the same item is billed twice or you've been billed for services you never received, here's what to do:

• Double-check the billing from your provider of care and the Explanation of Benefits (EOB) you received from WPS/TRICARE For Life. Be sure that the only services listed are ones you actually received.

• If you can't resolve any problems you find by talking to the provider's billing office (some discrepancies might simply be the result of errors in billing), or if you know or have evidence of another individual, whether it be a provider of care or a TFL-eligible person, submitting fraudulent claims to TFL, write to the program integrity unit at reportit@wpsic.com.

For more information on fraud and abuse reporting please visit, www.health.mil/fraud.

You can also visit the Defense Health Agency directly at http://www.tricare.mil/ContactUs/ReportFraudAbuse.aspx?sc_database=web