Fraudulent insurance fraud includes lending social security cards to others, using them by designated units or other units, buying a large number of drugs unrelated to one's own diseases or overdose, defrauding funds by false means such as impersonating, seeking medical treatment for diseases other than one's own, buying drugs, defrauding medical insurance funds by forging, altering, changing medical records, prescriptions, disease certificates, birth certificates, medical bills and other means, and defrauding medical insurance funds by reselling drugs. Medical insurance fund is the life-saving money of ordinary people, and it has the nature of earmarking. Treating the medical insurance fund as a fraud of Tang monk's flesh will ultimately damage the vital interests of every insured person. Providing false medical information or not truthfully reflecting the situation, after being delivered to the hospital or announced, the parties still refuse to accept inquiries, provide medical information or assist in the investigation, defraud medical insurance benefits and damages, infringe on public interests, and take medical insurance funds, resulting in the loss of medical insurance funds.

Article 87 of the Social Insurance Law of People's Republic of China (PRC), if social insurance agencies, medical institutions, pharmaceutical trading units and other social insurance service institutions defraud social insurance fund expenditures by fraud, forgery of certification materials or other means, the social insurance administrative department shall order them to return the defrauded social insurance money and impose a fine of not less than two times but not more than five times the amount defrauded; If it belongs to a social insurance service institution, the service agreement shall be terminated; If the directly responsible person in charge and other directly responsible personnel are qualified, their qualifications shall be revoked according to law.

How to report fraudulent insurance?

If you find fraudulent insurance, you can call 12333 to report it. The Municipal People's Social Security Bureau will investigate and deal with insurance fraud according to law, or call the insurance company to report it. If the insurance company discovers fraudulent insurance claims, it will report to the public security organ. You can also collect relevant evidence, provide witness testimony and other materials, and report to the public security organ, the people's procuratorate or the people's court according to law. If the other party commits insurance fraud, the public security organ will file a case for investigation.