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Code of Conduct

WellCare is firmly committed to creating and maintaining a culture that promotes and supports ethical business conduct. Our Ethics and Integrity demonstrates our unwavering commitment to conducting all aspects of our business with the highest level of integrity.

Fraud, Waste and Abuse

Preventing and correcting fraud, waste and abuse (FWA) in health care is essential to our success in the work we do. Fraud, waste and abuse can occur in many ways. Examples include:

  • Altering an invoice or receipt to secure payment
  • Billing for a more expensive service than provided
  • Submitting a claim for medications or services not provided
  • Falsifying a patient's diagnosis to justify an unnecessary medical procedure
  • Misrepresenting a procedure to secure payment for a non-covered procedure
  • Billing multiple times for the same service
  • Using another's ID or insurance card without authorization

If you detect or suspect FWA, please report it immediately to our toll-free Fraud, Waste and Abuse ("Fraud") Hotline at 1-866-685-8664 (TTY 711).

Your report is confidential, and WellCare prohibits retaliation against anyone for reporting in good faith a possible violation of the Code, law, rule or regulation.

Our Compliance Department investigates reports and works with other departments in the company to ensure that all appropriate steps are taken to stop fraud, waste and abuse.

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연락 정보
최근 업데이트 날짜: 2020/12/04
Medicare 가입자: Medicare 사기로부터 자신을 보호하고 도난을 식별하십시오! 미국 보건복지부(Department of Health and Human Services) 감사관실(Office of Inspector General)은 유전자 검사와 관련된 사기 수법에 대해 대중에게 경고하고 있습니다. 자신을 보호하는 방법을 알아보십시오.
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