Criminals Posing as Legitimate Health Insurers and Fraud Investigators to Commit Health Care Fraud
Summary:
The FBI has issued a warning to the public about a rising scam involving criminals who impersonate legitimate health insurance companies and their investigative teams. These fraudsters are targeting both patients and healthcare providers by sending deceptive emails and text messages that appear to be from trusted medical organizations. The messages often use urgent or official language to create pressure and gain the recipient’s trust. Victims are then manipulated into disclosing sensitive information, including protected health data, personal medical records, and financial details. In some cases, the scammers request payments by falsely claiming there were service overpayments or charges for non-covered procedures.
Security Officer Comments:
The impact of these scams can have over lasting consequences. Falling victim to such lures can lead to identity theft, financial loss, and the misuse of private medical information. With access to protected health data and personal medical record, actors can use this data to file false insurance claims or commit other types of fraud. Healthcare providers may also face reputational damage and legal consequences if patient data is compromised. The FBI emphasizes the importance of verifying communications before sharing any personal or financial information and encourages reporting suspicious activity to authorities.
Suggested Corrections:
https://www.ic3.gov/PSA/2025/PSA250627
The FBI has issued a warning to the public about a rising scam involving criminals who impersonate legitimate health insurance companies and their investigative teams. These fraudsters are targeting both patients and healthcare providers by sending deceptive emails and text messages that appear to be from trusted medical organizations. The messages often use urgent or official language to create pressure and gain the recipient’s trust. Victims are then manipulated into disclosing sensitive information, including protected health data, personal medical records, and financial details. In some cases, the scammers request payments by falsely claiming there were service overpayments or charges for non-covered procedures.
Security Officer Comments:
The impact of these scams can have over lasting consequences. Falling victim to such lures can lead to identity theft, financial loss, and the misuse of private medical information. With access to protected health data and personal medical record, actors can use this data to file false insurance claims or commit other types of fraud. Healthcare providers may also face reputational damage and legal consequences if patient data is compromised. The FBI emphasizes the importance of verifying communications before sharing any personal or financial information and encourages reporting suspicious activity to authorities.
Suggested Corrections:
- Be suspicious of unsolicited messages emails, texts, and calls requesting personal information.
- Never click on links that are included in suspicious and/or unsolicited emails.
- Use strong passwords and enable Multi-Factor Authentication for all accounts.
- Keep operating system software updated and use antivirus software on all devices.
- Always contact your health insurance provider directly to verify the legitimacy of any messages before sharing personal or health care information.
https://www.ic3.gov/PSA/2025/PSA250627