What Is Fraud and Abuse?
Delta Dental of Arizona is committed to fighting dental insurance fraud because it negatively impacts our policyholders.
The United States spends more than $3.6 trillion on health care annually. An estmated 3-10% of that—or up to $300 billion—is lost to fraud each year.1 Whether you have employer-sponsored benefits or buy an individual insurance policy, health care fraud can increase the cost of your benefits, treatments and even affect your coverage options. While it’s only a small percentage of providers or consumers who commit health care fraud, that small percentage can have a big impact.
What Is Fraud and Abuse?
It's important to understand fraud, waste and abuse so you can recognize and report any misconduct:
Examples of Fraud, Waste and Abuse
Some examples of provider health care fraud are:
Some examples of consumer health care fraud are:
Ways to Prevent Fraud and Abuse
Anyone can recognize signs of possible fraud and take steps to avoid fraudulent business practices.
As a Patient:
As a Dental Office:
Suspect Fraud? Report It!
If you suspect someone of committing fraud or abuse, please help us keep costs down. Contact us immediately. You may remain anonymous or share your contact information and request that your name not be used.
1National Health Care Anti-Fraud Association, 2018
2Delta Dental of Arizona internal data, 2017-2019