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Prevention of Insurance Fraud
Industrial Alliance's Group Insurance Division welcomes your support in helping to recognize and eliminate health care abuse and fraud risk. If you suspect that fraud and abuse may be going on within your group plan, you can use our Audit services toll-free tip line, e-mail address or online form to report your concerns.
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What is Insurance Fraud? |
Fraud occurs when information is deliberately withheld or it is misrepresented so as to ensure the payment of an insurance claim, from which a claimant, a service provider or another party stands to benefit financially. Anyone who knowingly directly or indirectly benefits from such an action is party to a fraudulent act.
Industrial Alliance implemented a series of measures to counter fraud. To learn more, read the article entitled Industrial Alliance Audit Services (PDF – 138 KB).
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What can Plan Sponsors and Members do to help? |
Plan sponsors can help detect and prevent fraud. One way is by increasing members’ awareness of insurance fraud, its impact on plan costs, and its legal implications. Another way is by co-operating with the insurer when a member's claim is being audited.
For easy tips to help prevent fraud, please read the article entitled Fraud Prevention (PDF – 125 KB).
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If you Suspect Fraudulent Activities... |
Plan sponsors and members insured with Industrial Alliance, who suspect that fraudulent activities may be going on within their plans should contact our Audit Services.
By phone
1-866-789-3938 (toll-free)
By email
ia_audit_services@inalco.com
By using our online form
Fill in our online form to report a fraud. Information provided via this form will remain anonymous.
These services are totally confidential. Please ensure to include all pertinent information including name(s), dates, and a description of activity or abuse. No return contact is made unless requested. If you leave your name, the information you provide could be disclosed under certain circumstances.
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