Fraud, Waste and Abuse
Healthcare fraud is an expensive crime. Between 3 percent and 10 percent of total healthcare spending – up to $224 billion – is lost to fraud each year, according to The National Health Care Anti-Fraud Association. We all pay for it through higher healthcare costs, insurance premiums and taxes.
Express Scripts has a team of experts dedicated to identifying and investigating suspected fraud, waste and abuse. You play an integral role in helping us do that.
Some examples of fraud, waste and abuse that you should report are:
- Claims appearing on your Explanation of Benefits (EOB) that you did not receive
- Suspected theft of your identity or your TRICARE health benefits card
- Doctor or pharmacy "shopping" – visiting multiple doctors or pharmacies to obtain various prescriptions
If you are aware of suspicious activity, please call the Express Scripts TRICARE® Fraud Tip Hotline at 866.759.6139.
You have the right to remain anonymous. However, providing your name and contact information will allow us to contact you if needed. All information provided will be kept strictly confidential.
Call the Express Scripts TRICARE® Fraud Tip Hotline at 866.759.6139 to report suspicious activity.
To learn more about what Express Scripts is doing to fight fraud, waste and abuse, click on these recent articles:
PDF files require Adobe Acrobat Reader.