Health Insurance Fraud occurs when individuals or organizations deceive insurance companies to receive benefits or payments they are not entitled to. This can include submitting false claims, billing for services not provided, or inflating the costs of services. Such actions can lead to significant financial losses for insurance providers and ultimately increase costs for all policyholders.
Preventing Health Insurance Fraud is essential for maintaining the integrity of the healthcare system. Insurance companies often employ various strategies, such as audits and investigations, to detect and combat fraudulent activities. Public awareness and reporting suspicious behavior can also help reduce the incidence of fraud and protect resources for those in need of legitimate care.