Reporting Fraud, Waste and Abuse
Nebraska Total Care is serious about finding and reporting times that Heritage Health funds are used in the wrong way.
What is fraud?
“Fraud” means to knowingly get benefits or payments that you should not receive.
Some examples of heath care fraud are:
- A lie on an application
- Using someone else’s ID card to get services
- Giving someone else your ID card to get services
- A provider billing for services that were not done
- A provider billing for the same service more than once
What can you do about healthcare fraud?
If you think a provider, member or other person is misusing Heritage Health benefits, please tell us right away. Nebraska Total Care will take your call seriously. You do not need to give your name. Call Member Services. The phone number is 1-844-385-2192, TTY: 1-844-307-0342, Relay 711.
What are the consequences of healthcare fraud?
Your healthcare benefits are given to you because you met the rules of the program. They are not for anyone else. You must not share your benefits with anyone. If you misuse your benefits, you could lose them. Nebraska DHHS could also take legal action against you if you misuse your benefits.
There can also be serious consequences for providers if it is proven that they committed fraud.