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Report prescription drug or health care fraud

May 1, 2015

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Prescription drug abuse is an ongoing problem. Not only does it have a significant societal impact, it drives up the cost of health insurance premiums. Independence's Corporate and Financial Investigations Department (CFID) is committed to reducing prescription drug fraud, waste, and abuse (FWA). Safeguards are in place to limit dispensing quantities and to make sure that the drug is medically necessary. Most of the drugs that are misused are opioid pain relievers with a high street value.

Addicted individuals will often use fraud to obtain these drugs. This includes:

  • Doctor shopping. Visiting multiple doctors to obtain multiple prescriptions for the same complaint on a monthly basis.
  • Pharmacy shopping. Using multiple pharmacies to fill different prescriptions for the same drug.
  • Unnecessary ER visits. Unnecessary emergency room/department (ER) visits for the sole purpose of obtaining more drugs.
  • Forgery. Forged prescription scripts.
If you suspect prescription drug or health care fraud against you and/or Independence, we urge you to report it. All reports are confidential. You are not required to provide your name, address, or other identifying information.

Submitting a fraud report

You have three options for submitting a fraud report:

  • Web. Submit a report electronically using the Online Fraud & Abuse Tip Referral Form.
  • Phone. Call the confidential anti-fraud and corporate compliance toll-free hotline at 1-866-282-2707 (TTY: 888-789-0429).
  • Mail. Write a description of your complaint, enclose copies of any supporting documentation, and mail it to:

    • Independence Blue Cross
    Corporate & Financial Investigations Department
    1901 Market Street, 42nd Floor
    Philadelphia, PA 19103


As a result of CFID's efforts, last year $77.5 million was recovered in FWA-related claims and 55 fraud cases were referred to law enforcement or regulatory agencies. Multiples of the recovered amount were saved through the detection, prevention, and shutting down of improper payments and schemes. Many of these recoveries and referrals started with information someone provided to CFID. Please join us in the fight against health care and prescription drug fraud.

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