What is GHIs Special Investigations Unit (SIU)?
The SIU is committed to detecting, preventing, and investigating fraud and abuse for all GHI products/plans. The unit consists of highly trained and experienced staff dedicated to fraud prevention. Report Fraud… IF YOU SUSPECT SOMETHING, SAY SOMETHING. Fraud & Abuse Hotline: 1-888-4-KO-FRAUD (24-hour confidential hotline) E-mail: KOFraud@GHI.com. What You Can Do A few simple steps can help protect you and GHI from fraud, waste and abuse. Review your Explanation of Benefits (EOB) • Always carefully read your EOB and any paperwork you receive from GHI, even when no payment on your part is necessary. • Make sure that you did, in fact, receive the treatments listed. Question any suspicious charges. Ask these simple questions: • Were insurance payments made for medical services that were not performed? • Are the service dates correct? • Do you suspect misuse of your medical insurance? • Ask for an itemized bill before leaving your health care provider’s office. • Were you asked to sign a
