Health Care Fraud

Blue Cross Blue Shield of Michigan and Blue Care Network are committed to addressing and minimizing fraudulent activity, waste and abuse. We work with law enforcement and seek criminal prosecution through the courts when criminal activity has been identified.

Blue Cross Blue Shield of Michigan health professional crossing her arms.

What is health care fraud?

Health care fraud occurs when a provider knowingly files false claims to make a profit. This includes billing incorrectly or charging for services that were never performed.


Fraud can cause higher premiums and out-of-pocket costs, and reduced benefits and coverage. It also hurts employers by driving up the costs of providing benefits to employees and doing business.

Learn about health care fraud

Reporting Fraud

If you suspect fraudulent activity, you can report it to us confidentially. We maintain a policy that enforces non-retaliation and non-intimidation against those who report potential concerns.

File a report Learn more about reporting fraud

Fraud case files

Here are some reports of cases of health care fraud in Michigan.