Posted: November 5, 2025
Highmark is aware of a current nationwide scam targeting insurers and Highmark members where fraudulent companies are attempting to submit claims for Durable Medical Equipment (DME) such as catheters or braces that were never provided.
These companies are randomly submitting hundreds of claims across the country hoping an insurer will pay them. Highmark is actively working to catch and deny these claims as part of our fraud prevention process. However, members are encouraged to review Explanation of Benefit and billing statements for any charges that appear suspicious or are for services that were not received.
Members who believe they were charged for a fraudulent service, and whose Explanation of Benefit does not indicate a denied claim, should contact Highmark’s fraud prevention team at 1-800-438-2478.
