KPS Health Insurance describes in detail what is involved in the serious crime of health care fraud on their website. Health care fraud is committed when a provider or customer submits false information to a health insurer for use of obtaining a payout of some sort.
There are many different forms of health care abuse. One of the most common is filing a claim for services or medications not really performed. Billing for non-covered items using codes for items that are covered in a health insurance plan. There is also altering billings or medical records or accepting gifts for patient referrals.
KPS Health Plan is working hard to ensure they protect their policy holders. They have a dedicated special investigation unit who works to review all cases of fraud and health care abuse. They verify all providers’ credentials to ensure consumer safety. They encourage all of their members to protect their KPS Health Plan Identification cards as if it were one of their credit cards. Identity theft through health insurance can be just as seriousif not more.