Report Fraud and Abuse
What is fraud and abuse?
- Fraud—when a person or organization deliberately deceives others to gain some sort of unauthorized benefit.
- Abuse—when providers supply services or products that are medically unnecessary or that do not meet professional standards.
You're an important partner in the ongoing fight against fraud and abuse.
- If you suspect anything out of the ordinary, report it!
- No one from TRICARE will ever contact you to recommend a particular product or medicine.
- No one from TRICARE will ever contact you to get your Social Security number.
- If are ever contacted by phone or email, don't share any personal information and report the incident to your contractor immediately.
>>Visit the Defense Health Agency (DHA) Program Integrity web page to Learn More
Report Suspected Fraud or Abuse
To report suspected fraud or abuse, contact the suspected fraud or abuse to the appropriate contractor. (see below)
| Type of Care/Program | Who to Contact |
|---|---|
| Medical |
All TRICARE Plans except TRICARE For Life and the US Family Health Plan:
TRICARE For Life (Wisconsin Physicians Service):
US Family Health Plan: |
| Pharmacy |
Contact Express Scripts:
|
| Active Duty Dental Program |
Contact United Concordia:
Special Investigations Unit 1800 Center Street, Suite 2B 220 Camp Hill, PA 17011 |
| TRICARE Dental Program |
Contact United Concordia: Inquiries |
Last Updated 2/6/2024