What is fraud?
Fraud happens when a person receives a benefit payment they aren’t entitled to, or uses false and/or misleading information to claim a benefit.
The problem is that it ends up costing everyone else, usually through increased premiums, and could use up your annual benefit limits. That’s bad on both counts.
For example:
- A health care provider might claim for services that weren’t performed or necessary.
- an nib customer might let people who are not listed on their policy claim for benefits or send in false receipts to make a claim
What you can do
- Never leave your nib card with a provider - treat it like a credit card
- Report lost or stolen cards immediately by calling us on 13 14 63
- Get a receipt for all electronic claims (like HICAPS or IBA)
- Before each service, check that the:
- Provider is an nib recognised provider (if unsure call 13 14 63)
- Provider is qualified (if unsure ask to see certificate of qualifications
- Always check your receipt. Make sure the:
- Name of patient and date of birth is correct
- Name of provider is the provider who treated you
- Date of service is correct
- Services and charges received match the receipt
Report any suspicious activity to
Ancillary Provider Management Hotline 1800 175 377 or
Email providers@nib.com.au
You can choose to remain anonymous. nib will support and protect the privacy of anyone who provides information.