What is fraud?

Fraud is when a person receives a benefit payment they aren’t entitled to, or uses false and/or misleading information to claim a benefit.

For example:

• a health care provider might claim for services that weren’t performed or necessary; or
• 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 received match the receipt

Report any suspicious activity to

nib Fraud Hotline 1800 633 223 or
Email investigations@nib.com.au

You can choose to remain anonymous. nib will support and protect the privacy of anyone who provides information.