The National Consumer Protection Technical Resource Center: The Center of Service & Information for SMPs

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Report Fraud

If you suspect errors, fraud or abuse, report it immediately! You will protect other people from becoming victims and help to save your Medicare benefits.

Here are the steps you should take to report your concerns and abuse:

  • If you have questions about information on your Medicare Summary Notice or Part D Explanation of Benefits, call your provider or plan first.
  • If you are not comfortable calling your provider or plan or you are not satisfied with the response you get, call your local SMP.

SMPs help Medicare and Medicaid beneficiaries:

  • Identify and report deceptive health care practices, such as illegal marketing, providing unnecessary or inappropriate services and charging for services that were never provided.
  • Refer complaints of potential fraud to the HHS Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), state attorneys general, local law enforcement, state departments of insurance and other outside organizations that can intervene. For more information on SMPs, click here.