Dental benefits fraud can have many forms:
- misrepresenting services,
- unbundling claims (i.e., submitting several procedures separately to receive higher reimbursement)
- upcoding dental procedures (i.e., submitting a claim for a procedure that’s more complex than what the dental provider performed)
- waiving fees not covered by the benefits plan.
The first step to preventing dental benefits fraud is understanding what it is!
The new edition of the F Files
Our 2022 edition provides you with valuable information about:
- what dental benefits fraud and abuse look like,
- Sun Life’s approach to dental benefits fraud, and
- how you can help identify and prevent it.
What is Sun Life’s approach to help you fight dental benefits fraud?
Our role is to protect your plan by:
- Investing heavily in anti-fraud technology to identify fraudulent activity, and,
- Providing you and your plan members with resources and materials to detect and prevent possible fraud and abuse of dental benefits.
What you can do to help prevent dental fraud in your workplace?
- Read the new F Files edition to learn more.
- Share this information and this brochure with your employees.
Questions? We’re here to help.
If you have fewer than 50 employees, please contact the Client Relations Representative Team at 1-866-606-8936.
If you have more than 50 employees, please contact your Sun Life Group Benefits representative.
