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Fraud awareness

Claims Investigation

As a not for profit organisation and one of WA’s largest and most respected Health insurers, we are committed to protecting the interests of its members, whilst ensuring claims are paid quickly and efficiently.

For that reason, HBF has a Group Loss Team in place to help minimise the number of billing errors or cases of overcharging experienced by our members. Whilst this team had been in place a number of years, greater investment is now being given to ensuring that all incidences of error or overcharging are identified and rectified. Whilst siginificant pro-active measures are in place to identify areas of overcharging, HBF still needs your help to ensure we are not incurring additional costs on your behalf, costs that may ultimately effect premiums. 

We would therefore ask that you are vigilant when examining your benefit statements for accuracy to ensure that the details of the treatment outlined is correct. Examples of incorrect billing may include:

• Incorrect procedures claimed.
• Errors in accommodation charges i.e. shared room charged as single.
• Charges for duplicated services.
• Charges for services not provided.

How does the Group Loss Team review concerns?

Where a concern is raised Group Loss contact the relevant medical provider and confirm exactly what services were provided and whether these match the account submitted. If it is determined that an inappropriate charge has been made the monies will be recouped from the Provider.

Where you think an error may have occurred please contact the Group Loss team. Concerns can be reported in a variety of ways:

• By email to: glpa@hbf.com.au
• By telephone to the Group Loss team on: 08 9265 8777
• By fax to: 08 9265 6385
• By post to: GLPA, HBF Insurance GPO Box C101 Perth WA 6809