To prevent, report and stop fraud, waste and abuse, you can call:
You can also report fraud, waste and abuse online on the Illinois Department of Healthcare and Family Services (HFS) website. Or you can fill out our fraud, waste and abuse form.
Provider fraud, waste and abuse includes:
Falsifying medical records
Prescribing more medication than is medically necessary
Giving more health care services than medically necessary
Billing for services that were not rendered
Billing for items not provided
Billing for professional services when a medical professional did not perform the service
Member fraud, waste and abuse includes:
Lending, selling or giving a health plan ID card or HealthChoice Illinois Benefits Identification Card (BIC) to someone else
Getting similar or the same treatments or medicines from more than one provider
Going to an emergency room when it is not an emergency
Using someone else’s Social Security number or health plan ID number
Receiving money or gifts in exchange for having medical services
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This link will take you to the Aetna Better Health® of Illinois provider website. It contains information for health care professionals. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner.
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