Fraud and Abuse for Providers

Tips for Protecting Your Practice

  • Keep your provider ID number confidential and don't allow other providers to bill their services under your number.
  • Keep prescription pads in a secured location.
  • If someone else is authorized to bill for your services, have a process in place to make sure billing reflects services provided.
  • Conduct internal audits to detect billing inaccuracies promptly.
  • Establish a process to keep up with benefit and policy changes.
  • Don't waive deductibles and/or coinsurance.
  • Carefully review and document the medical necessity of services or supplies provided.

Report Fraud & Abuse

Blue Cross Blue Shield of Arizona's Special Investigations Unit maintains a confidential hotline to report suspected fraud or abuse.


You may request to remain anonymous.Business hours are Monday through Friday from 8.00 to 4.30 MST. Messages may be left outside business hours.


Call us at:
(602) 864-4875 or
(800) 232-2345 ext. 4875