What evidence should I have to report hospital medical insurance fraud?

To report insurance fraud to an insurance company, you can call the official telephone number of the insurance company to report it. In case of insurance fraud, you can call the insurance company's insurance telephone to complain and report it to the insurance supervision and management department. In addition, the insurance company can be required to bear the corresponding losses through litigation. If the case constitutes a criminal offence, you can also report it to the public security organ and demand that the relevant parties be investigated for criminal responsibility. Once you find a clue to fraudulent insurance, you can call 12333 to report it, and the Municipal People's Social Security Bureau will investigate and deal with fraudulent insurance according to law. Insured units forge or alter materials, fabricate or conceal facts, and defraud social insurance funds. Insured units collude with individuals and other institutions to defraud social insurance funds, and insured units defraud social insurance funds by other means. Individuals forge or alter materials, fabricate or conceal facts to defraud social insurance benefits, individuals fraudulently use other people's identities and social insurance vouchers to defraud social insurance benefits, and individuals collude with others, units or other institutions to defraud social insurance benefits.

Legal basis:

Article 131 of the Insurance Law of People's Republic of China (PRC), insurance agents, insurance brokers and their employees shall not commit the following acts in handling insurance business activities: (1) Deceiving the insurer, the applicant, the insured or the beneficiary; (2) Concealing important information related to insurance contracts; (3) Obstructing the applicant from fulfilling the obligation of truthful disclosure as stipulated in this Law, or inducing him not to fulfill the obligation of truthful disclosure as stipulated in this Law; (4) Giving or promising to give benefits other than those stipulated in the insurance contract to the applicant, the insured or the beneficiary; (5) Forcing, inducing or restricting the applicant to conclude an insurance contract by improper means such as administrative power, position or professional convenience; (6) Forging or altering an insurance contract without authorization, or providing false certification materials for the parties to the insurance contract; (seven) misappropriation, interception, embezzlement of insurance premiums or insurance benefits; (eight) using business convenience to seek illegitimate interests for other institutions or individuals; (nine) colluding with the applicant, the insured or the beneficiary to defraud the insurance money; (10) disclosing the business secrets of the insurer, the applicant and the insured that are known in business activities.

Derivative problem:

What is the proportion of medical insurance?

Employee's individual contribution ratio: the employee's basic medical insurance premium is paid by both the employer and the employee, and the employee's contribution ratio is 2% of his salary income. Employer's contribution ratio: the employer's contribution ratio is 6% of the total wages of employees. With the development of economy, the payment ratio of employers and employees can be adjusted accordingly. Personal contribution base of medical insurance The personal contribution base is based on the average monthly salary of the employee in the previous year, and the total average monthly salary of the employee in this unit in the previous year.