Find Help
Use our all-in-one form to:
- Make a Medicare fraud report
- Get more information
- Get connected with DE SMP
- Support someone else in a claim
The Process of Investigating
How do I know if something is legitimate? Here are steps we recommend you take to investigate any concerns:
Step 1: Contact that Provider or Supplier
Call your health care provider or supplier first to question the charge.
If the issue is determined to be a mistake, ask them to correct it.
Step 2: Contact The Payer/Insurance
If the provider or supplier can’t answer the question, contact the company that paid the bill. Their contact information can be found on your Medicare Summary Notice (MSN) or Explanation of Benefits (EOB).
Step 3: Contact DE SMP
If the issue still isn’t resolved, Contact Us, DE SMP, and we can assist. If fraud or abuse is suspected, we will guide you in resolving it and we will refer cases to the proper authorities on your behalf.
Get the Help You Need Now
Complete our all-in-one ‘Find Help’ form below to file a fraud report, get more specific information, or speak with someone about your health care experiences—and we’ll make sure we connect you to the right people to assist you in your unique situation. If you have any questions about the services we provide in Delaware, simply use the form below or call us at 1‑800‑223‑9074.
What Happens After You Submit This Form
You can expect a response within 3 business days of submission, which is when the DE SMP team will go over your request, ask additional questions, and complete our Beneficiary Intake Form.
- If fraud is evident, our team will submit the form for an official case number and there will be an investigation of the claim, which may or may not involve escalation to the Office of Inspector General. Once the investigation is completed our team will reach back out to you to go over the findings of the claim.
- If there is an error present but not necessarily fraud, our team is still here to help. They can help advocate for you to get this corrected with the correct party and aid in the conversations or requests to have the issues fixed.