Report Fraud
Fraud, waste and abuse
CareSource has a program designed to handle cases of fraud, waste and abuse. Fraud can be committed by providers or members. Examples of provider fraud include doctors or other health care providers who:
- Prescribe drugs, equipment or services that you feel are unnecessary
- Schedule more frequent return visits than you feel are necessary
- Bill for services not provided to you
The following examples are considered member fraud. CareSource monitors these member activities:
- Members who share their CareSource ID card with other people
- Members who use CareSource to obtain controlled substances, medical equipment, or services that they do not need
- Altering prescriptions
If you suspect fraud
If you think a doctor or a CareSource member is committing fraud, you can:
- Send an e-mail to fraud@caresource.com
- Call us at 1-800-488-0134 (TTY: 1-800-750-0750 or 711) and select the menu option for reporting fraud
Please give us detailed information, including names and phone numbers of those involved, if you have them. You do not have to give us your name. If you call and don't leave your name, we will not be able to ask you if we need more information. Your message will be kept confidential whenever possible.