Fraud happens when a person or organization deliberately deceives others to gain some sort of unauthorized benefit. Health care abuse occurs when providers supply services or products that are medically unnecessary or that do not meet professional standards.
 
Beneficiaries are important partners in the ongoing fight against fraud and abuse. Because an EOB is a tangible statement of services/supplies received, it is one of the first lines of defense against health care fraud. Each EOB provides a tollfree number to call if you have questions about services you believe are billed fraudulently, or you can access the TRICARE Program Integrity  for direct links to each contractor’s fraud and abuse reporting office. Through myTRICARE.com you can view and print your EOBs. We strongly encourage you to read your EOBs carefully.
 
Report suspected fraud and abuse to Humana Military at 1-800-333-1620 or mail information to:
 
Humana Military Healthcare
Services, Inc.
Attn: Program Integrity
500 W. Main Street, 19th floor
Louisville, KY 40202
 
To report fraud or abuse regarding the pharmacy program, contact ESI:
Phone: 1-800-332-5455
E-mail: fraudtip@express-scripts.com 
 
You also can report fraud or abuse issues directly to TRICARE at fraudline@tma.osd.mil.