Utah Insurance Fraud Reporting Guidance

UT Insurance News

Published November 18th, 2025

Detected March 22nd, 2026

Summary

The Utah Insurance Department has published guidance on how to report insurance fraud. The document outlines steps for consumers to provide details, maintain anonymity, and lists various channels for reporting, including the department's website, insurance companies, NICB, and Medicare/Medicaid fraud hotlines.

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What changed

The Utah Insurance Department has issued guidance detailing how individuals can report suspected insurance fraud. The document emphasizes the importance of not confronting suspects and preserving evidence, while providing multiple avenues for reporting, including directly to the department via their website, to the National Insurance Crime Bureau (NICB), and specific hotlines for Medicare and Medicaid fraud.

Consumers who suspect insurance fraud are advised to gather as many details as possible, such as names, dates, policy numbers, and incident descriptions. They can report anonymously through various channels. The guidance encourages reporting to one's own insurance company or the Utah Insurance Department, and also lists national resources like NICB and the Coalition Against Insurance Fraud. Specific contact information for Medicare and Medicaid fraud reporting is also provided, directing individuals to relevant government websites and hotlines.

What to do next

Review the Utah Insurance Department's guidance on reporting insurance fraud.
Familiarize staff with the listed reporting channels for insurance fraud.
Ensure internal procedures align with best practices for handling fraud tips.

Source document (simplified)

Say Something: How to Report Insurance Fraud

November 18, 2025 / 2025 If you suspect insurance fraud, here’s what to do:

Don’t ignore it.
Share as many details as possible such as names, dates, policy numbers, incident descriptions, and any documents or photos.
Never confront the suspected person. Let investigators handle it.
Preserve evidence.
If you prefer to stay anonymous, many states and companies accept confidential tips through hotlines or online forms.
You can report insurance fraud in a number of ways:
Your insurance company: Contact your company’s fraud or claims department.
The Utah Insurance Department: Visit our Report Insurance Fraud page to report your suspicions directly to us. Most states have a fraud bureau or consumer protection division with online reporting forms. Search for “[State] Department of Insurance fraud report” to find the resource in your state.
National Insurance Crime Bureau (NICB): A nonprofit that partners with insurers and law enforcement to fight fraud. Reports can be made anonymously.
- Phone: 1-800-TEL-NICB (1-800-835-6422)
- Online: www.nicb.org (“Report Fraud” section)
Coalition Against Insurance Fraud: Provides resources and guidance on reporting but does not directly investigate.
- Online: www.insurancefraud.org (“Report Fraud” section)
Medicare or Medicaid Fraud:
- Medicare: Call 1-800-MEDICARE (1-800-633-4227) or report online at Medicare.gov.
- Medicaid: Contact Utah Medicaid, or your state’s Medicaid office or Medicaid Fraud Control Unit if you’re in another state. You may also report to the U.S. Department of Health and Human Services Office of Inspector General Hotline: 1-800-HHS-TIPS (1-800-447-8477) or online at oig.hhs.gov/fraud/report-fraud.