Stop Fraud and Abuse

Spring 2018


As part of the Neighborhood Fraud and Abuse Initiative, we use software to identify potential aberrant billing practices. Please refer to your remittance advice to review, if applicable, any identified billing errors. We encourage you to take the appropriate actions to correct any errors. For claims that do not meet CMS-mandated coding standards, Neighborhood will deny, adjust or retract payments. For questions about your claims, call Neighborhood Member Services at 1-800-459-6019. Neighborhood encourages you to report suspected cases of fraud and abuse. You can also report situations you think may not be right. Call the Neighborhood Compliance Hotline at 1-888-579-1551 to tell us about fraud, abuse or your concern.