Fraud and abuse increase healthcare costs, weaken trust, delay genuine care and damage provider relationships. LifeCome HMO encourages responsible reporting of suspected misconduct.
What to report
False claims, inflated bills, duplicate billing, member ID misuse, provider kickbacks, denial of approved services, forged documents, unethical conduct, data misuse, harassment or abuse.
Confidentiality
Reports will be handled confidentially and reviewed by authorised personnel. Anonymous reports may be accepted, but providing contact details can help investigation.
Good-faith reporting
Do not submit malicious or knowingly false reports. Reports should be made in good faith with as much detail as possible.
What happens next
LifeCome reviews the report, may request further information, investigates through appropriate channels and takes corrective action where required.