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Fraud awareness

How you can help to ensure members' funds are protected and used wisely.

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 our members, whilst ensuring claims are paid quickly and efficiently.

For that reason, HBF has set up a Business Integrity team to help minimise the number of billing errors or cases of overcharging experienced by our members. Whilst this team has 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 significant 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 affect premiums.

Please be vigilant when examining your benefit statements for accuracy to ensure the details of the treatment outlined is correct. Examples of incorrect billing may include:

  • Incorrect procedures claimed;
  • Errors in accommodation charges such as a shared room charged as private;
  • Charges for duplicated services; and
  • Charges for services not provided.

How our Business Integrity team review concerns?

If you have a concern, Business Integrity will contact the relevant medical provider to confirm exactly what services were provided and whether these match your account. If they find that you were incorrectly charged, the monies will be recouped from the provider.

Concerns can be reported by:

  • Email to businessintegrity@hbf.com.au
  • Telephone the Business Integrity team on 08 9265 8777
  • Fax to 08 9265 6385, or
  • Post to Business Integrity, HBF Insurance, GPO Box C101, Perth WA 6839.

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