Fighting fraud is everyone's responsibility: patients, brokers, employers, and providers. Did you know these are signs of fraud?

• Submitting for services that were never performed.

• Misrepresenting the actual treatment rendered in an attempt to gain benefits.

• Misrepresenting treatment dates in an attempt to gain benefits.

• Misrepresenting the teeth numbers and/or surfaces that work was performed on in an attempt to gain benefits.

• Billing insurance companies more for a service than what is charged on the patient ledger.

• Misrepresenting the diagnosis to justify payment for certain services.

• Dental offices that do not charge or collect full co-payment, deductibles, or extend discounts and fail to disclose it on the submitted claim.

• Falsifying treatment and/or financial records.

• Billing for cosmetic services as medically necessary procedures.

• Submitting claims for services performed by unlicensed individuals.

• Dental offices/patients that conceal other insurance coverage that would pay for services on the claim form submitted (medical, dental and/or workman's compensation).

• Misrepresenting the identities of patients/subscribers/providers.

• Individuals who misrepresent their identity by using another individual's insurance.

• Placing a non-covered person on your policy by misrepresenting their relationship to you.