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:
TRICARE For Life (Wisconsin Physicians Service):
US Family Health Plan:
Or, submit a fraud report to the Defense Health Agency. |
| 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 5/5/2022