Fraud, Waste and Abuse

Absolute Total Care is committed to preventing, detecting, identifying and reporting suspected cases of fraud, waste and abuse.  We look to our members to assist us in these matters. If you happen to witness, are told of or suspect an incident of fraud, waste or abuse, it is important to report this immediately to Absolute Total Care or to the SCDHHS Division of Program Integrity.

What is Fraud?

Fraud means to knowingly get benefits or payments that you are not entitled to receive. Please let us know if you are aware of someone who is committing fraud. This could be a provider or a member.

Some examples of healthcare fraud include but are not limited to:

  • A lie on an application
  • Using someone else’s ID card
  • A provider (doctor) billing for services that were not done

How Can You Report Healthcare Fraud, Waste and Abuse? 

Absolute Total Care wants you to call us if you are aware of fraud, waste or abuse. It is a crime, and we will take necessary actions.

Absolute Total Care fraud, waste and abuse reporting contact information:

Mail:
Absolute Total Care
Compliance Department
1441 Main Street, Suite 900
Columbia, SC 29201

Phone: Absolute Total Care Fraud and Abuse Hotline 1-866-685-8664 (all calls are confidential)

Email: ATC.Compliance@centene.com

South Carolina Department of Health and Human Services (SCDHHS) Fraud, Waste & Abuse reporting contact information:

Mail:
SCDHHS Division of Program Integrity
P.O. Box 8206
Columbia, SC 29202-

Phone: 1-888-364-3224

Email: fraudres@scdhhs.gov

Absolute Total Care’s staff is available to answer any questions or concerns you have regarding fraud, waste and abuse.  Please contact Member Services at 1-866-433-6041 (TTY: 711) with any questions.