Free Self-Assessment
Does Your Account Involve Healthcare Billing Fraud?
Apply this checklist to identify any billing errors, suspicious activity, or possible fraud. For each question there are tips explaining what to look for and what actions to take.
Healthcare billing fraud occurs when a person bills you or your health insurance plan for treatment that you did not get, uses your details without your permission, or bills for something that differs from what you actually received. Such actions can result in you being charged money and may also impact your coverage or medical records.
Suspicious Bills & Charges
Is there a bill or insurance statement showing a visit you never had?
Were you charged for a test, treatment, or item you never received?
Is the same service listed twice for the same date?
Does your bill describe a more extensive service than you remember receiving?
Did you receive a bill after you already paid that charge?
Does the amount you owe exceed the estimate you were given by a large margin, without any clear explanation?
Provider & Insurance Issues
Did your insurance company reject a claim for a visit you do not recognize?
Does a claim list a doctor, clinic, or supplier you have never used?
Were you informed of an amount to pay which neither the provider nor your insurance company could explain?
Did a provider charge you for a service even though they told you your insurance would cover it entirely?
Have you inquired about a doubtful charge but been given contradictory answers?
Personal Information Concerns
Does your file contain a prescription you had not requested?
Did you get a collection notice for medical care you do not know about?
Has your insurance company told you that you have reached the coverage limit earlier than anticipated?
Has your insurance company or provider sent your account details to an address or email you had not authorized?
Unusual Patterns
Does your record indicate that care was provided on a day when you knew you were elsewhere?
Do identical unknown charges appear one month after another?
Do several claims list services at different places and different times you do not recognize?
Did unfamiliar claims start shortly after you lost your insurance card or gave your information to an unknown caller?
Keep Monitoring
You have few or no flags right now — but the number of flags matters less than what each one involves. A single charge for a procedure you never had, or a prescription you never requested, is serious on its own. Review any flagged item carefully before concluding everything is fine.
Request a Free Billing ReviewWhat a Free Billing Review Includes
During a free billing review, Eric's team will walk through the specific charges or patterns you flagged, explain what they typically indicate, and tell you plainly whether the situation warrants further action. You do not need to bring documents to the first conversation — a phone call or email describing what you saw is enough to get started.
What to Do Next
Carefully review any flagged charge or claim and contact your provider or insurer using a number from their official website or insurance card.
Request a full itemized bill, details of any claims, and an explanation for any charges you do not recognize.
Save copies of all bills, insurance statements, payment records, and any responses you receive.
If you suspect fraud or cannot get answers, contact your state's insurance department or the FTC immediately.
If you have Medicare, check your Medicare statements for unrecognized services and report suspicious activity to 1-800-MEDICARE (1-800-633-4227).
Frequently Asked Questions
Straight answers on healthcare billing fraud, the False Claims Act, and how Eric Deters helps victims fight back.
Have a question not answered here? Call Eric at 859-250-2527
Don't Face This Alone
If you do not receive clear answers or your worries remain unresolved, take action now. Eric Deters and his legal consulting team are here to help.