How can members report suspected fraud or abuse related to their Highmark coverage?

Prepare for the Highmark Exam 1 with comprehensive study materials. Answer multiple choice questions, each with hints and explanations, to get ready for your examination!

Members can report suspected fraud or abuse related to their Highmark coverage via Highmark's fraud hotline or customer service because this is the designated and most effective channel specifically set up to handle such reports. Highmark provides these resources to ensure that concerns are addressed promptly and appropriately, allowing for an efficient review and investigation process.

The fraud hotline is particularly important, as it is staffed with trained professionals who can take the information confidentially and guide members on the next steps. This direct approach helps in streamlining the reporting process and emphasizes the company’s commitment to maintaining integrity within their services.

While other options might seem plausible, they may not offer the same level of effectiveness or confidentiality in addressing fraud-related issues. Reporting through a healthcare provider, for example, could result in a delay or miscommunication. Emailing the compliance department might not provide immediate assistance or support, and using the mobile app for such sensitive issues may not be the most secure or efficient method. Thus, utilizing the designated hotline or customer service is the most appropriate and reliable way for members to report their concerns.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy