Report insurance fraud

Stopping fraud before it happens

Health insurance fraud can lead to identity theft and cost companies millions of dollars, raising the cost of healthcare for everyone. That's why we’ve established an anti-fraud program, designed to help detect and eliminate potential fraud and abuse.

Examples of fraud and abuse

Fraud and abuse take many forms. Here are just a few examples:

• Requesting payment for a service that wasn't provided
• Charging for a more expensive service than was actually provided
• Incorrectly stating a member's condition or diagnosis to maximize payment
• Selling or sharing a person's insurance identification number or information so false claims can be filed
• An employer enrolling subscribers who don't work for their business under a group service agreement

Protect yourself

Use discretion when providing your health insurance information, including your member ID number. Never give out your information in exchange for free services or gifts.

Contact us to report fraud or abuse

If you suspect fraud or abuse, contact us:

• Email: fa@geisinger.edu
• Phone: GHP Compliance Hotline at 800-292-1627 or call the Customer Service Team number listed on the back of your insurance card:
  • HMO: 800-447-4000 or 570-271-8763
  • TPA, PPO: 800-504-0443 or 570-271-8770
  • GOLD: 800-498-9731 or 570-271-8771
    • Oct. 1 – March 31, daily, 8 a.m. – 8 p.m. ET
    • April 1 – Sept. 30, Monday – Friday, 8 a.m. – 8 p.m. ET; Saturday, 8 a.m. – 2 p.m. ET
  • TDD for the hearing impaired: 711
• Mail:
  • Geisinger Health Plan
    Anti-Fraud Program
    100 N. Academy Ave.
    Danville, PA 17822-3220