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.
  • No one from TRICARE will ever contact you to get your Social Security number.
  • 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, contact 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:

  • East (Humana Military Healthcare Services)
  • West (Health Net Federal Services)
  • Overseas (International SOS)

TRICARE For Life (Wisconsin Physicians Service):

US Family Health Plan:

Pharmacy

Contact Express Scripts:

Active Duty Dental Program

Contact United Concordia:

  • Call the toll-free "Fraud Hotline" at 1-877-968-7455
  • Fax: 1-877-603-6091 
  • Or, download the form send to:
United Concordia Companies, Inc.
Special Investigations Unit
1800 Center Street, Suite 2B 220
Camp Hill, PA 17011 
TRICARE Dental Program

Contact United Concordia:

Inquiries
United Concordia Special Investigations Unit—TDP
4401 Deer Path Road
DP 3B
Harrisburg, PA 17110

Last Updated 2/6/2024