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Fraud is the intentional deception or misrepresentation of material facts with the knowledge that the deception could result in unauthorized benefit or payment for which no entitlement would otherwise exist.
Abuse is practices that are inconsistent with sound fiscal, business or medical practice and result in an unnecessary cost to Delta Dental or in reimbursement for services that are not medically necessary, violations of an agreement or certificate of coverage or fail to meet professional recognized standards for health care.
If you suspect someone of fraud or abuse, please help us keep costs down. Contact us immediately. You may remain anonymous or share your contact information and request that your name not be used.