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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.
  • 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, you can:

  • Submit a Fraud Report Online to the DHA Program Integrity Office
  • Report 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:

  • East (Humana Military Healthcare Services)
  • West (Health Net Federal Services)
  • Overseas (International SOS)

TRICARE For Life (Wisconsin Physicians Service):

US Family Health Plan:

  • Call 1-800-748-7347

Or, submit a fraud report to the Defense Health Agency.

Pharmacy

Contact Express Scripts:

Active Duty Dental Program

Contact United Concordia:

United Concordia Companies, Inc.
Special Investigations Unit
4401 Deer Path Road, DP-4F
Harrisburg, PA 17110

TRICARE Dental Program
Contact United Concordia: 

Inquiries
United Concordia
Special Investigations Unit—TDP
4401 Deer Path Road
DP 3B
Harrisburg, PA 17110
TRICARE Retiree Dental Progam

Contact Delta Dental:

  • Report online
  • Stateside: 1-888-838-8737
  • Overseas: (AT&T USADirect Access Number) + 866-721-8737

Last Updated 6/5/2018