Employers are fully aware of the rising costs of providing employee benefits. It is critical to appreciate the extent to which fraudulent conduct on the part of patients and healthcare providers contributes to rising premiums.
The insurance industry devotes significant resources to reducing benefits fraud. Sophisticated programs for identifying patterns of fraudulent behaviour are continually developed to limit costs and increase the chances of recovery.
To ensure we are only paying for legitimate claims covered under your employee benefits contract RWAM:
As a plan member, you also have a role in helping to prevent fraud. To learn more about your role in fraud prevention visit the Plan Members Protecting Your Plan page.
If you are aware of or suspect insurance fraud, contact RWAM.
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