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Fraud Detection and Control

HCS physicians and other health care professionals play an important role in helping to control fraud and abuse.

If you suspect a patient is magnifying complaints, malingering or in any way abusing the process, please contact the assigned case manager, who will take appropriate steps to investigate the situation and will work with you to help resolve the problem.

HCS is vigilant in detecting fraud and controlling abuse on the part of claimants, physicians and other health care professionals, attorneys and others, and will use all available resources and tools to identify and resist payment of fraudulent claims. We are committed to assuring that our clients pay only for what is covered under the insurance policy.