Fraud Prevention

Fraud Costs Top $85 Billion a Year

Report Suspected Fraud: 1-800-336-4522 (or 410-998-5480)

Health insurance fraud has many forms, but collectively it is costing upwards of $85 billion a year, according to the US General Accounting Office. As members and providers, please help us fight fraud by letting us know when you encounter the following:

  • An Explanation of Benefits (EOB) showing prescription drugs that are offered for free
  • An Explanation of Benefits (EOB) showing prescription drugs that you did not receive or that shows providers or dates of service that are not correct
  • Someone using a member ID card that is not theirs
  • Billing for prescription drugs that were not provided
  • Billing for prescription drugs that are more complex or expensive than the drugs provided
  • Doctor shopping – visiting several doctors to obtain multiple prescriptions (often for controlled substances).

Preventing Fraud

You can help prevent fraud by keeping your member ID in a safe place. If your ID is stolen, report it immediately.

Reporting Fraud

You can report suspected fraud using this online form.

You can also contact our fraud hotline at 410-998-5480 or toll-free at 1-800-336-4522. Phone calls can remain anonymous.

CareFirst BlueCross BlueShield CareFirst BlueChoice

MHIP is administered by CareFirst BlueCross BlueShield and CareFirst BlueChoice, independent licensees of the BlueCross BlueShield Association.