Report Fraud and Abuse

Online Fraud and Abuse Report Form

To: Special Investigations Unit

Personal information will only be used if it is necessary to contact you for more information concerning the investigation of your filing.

Subject Information

Personal Information

Best Time to Call


Health care fraud is the deliberate submission of false information to gain undeserved payment on a claim.

Abuse involves a questionable practice inconsistent with accepted medical or business policies. While not an intentional misrepresentation, it may result in unnecessary costs.

  • Patients
  • Doctors
  • Hospitals
  • Clinics
  • Labs
  • Someone posing as any one of these individuals

Items or services on your Explanation of Benefits (EOB) which:

  • You didn't receive.
  • Are different from those you received.
  • Are unnecessary, inappropriate, or of questionable medical benefit.
  • Are billed under a different name than the individual who provided the service.
  • Someone who:

    • Offers "free" items or services to you, but then bills them to WPS.
    • Any person (other than a covered dependent) who uses your insurance identification card to obtain medical care.
    • Someone who misrepresents information on a health insurance application or form.
    • Submits falsified claims with stolen/purchased physician or patient identification information.

Fraudulent and abusive claims can affect your health care history. If a claim is filed for a service you didn't receive, this could:

  • Affect your future ability to obtain life or health insurance.
  • Increase insurance premiums.
  • Affect the health care received from other providers.
  • Use our online form.
  • Email us.
  • Call our toll-free fraud and abuse hotline: 1-888-766-4681 (TTY:711).