Anti-Fraud Training with verified
answers already passed
Savings - correct answer ✔✔dollars that Cigna does not pay in claims
Recoveries - correct answer ✔✔dollars returned to Cigna because of litigation refunds or
recovery
3 aspects of fraud - correct answer ✔✔deception, intentional act, gain
collusion - correct answer ✔✔hcps working together to generate fraudulent claims that are
submitted to cigna for payment
false representation - correct answer ✔✔untrue information is submitted for payment purposes
actual knowledge of its falsity - correct answer ✔✔person who knowingly submits false
representations to an insurerer
intent to defraud - correct answer ✔✔has the intent to obtain payments for services not
covered under the plan
reliance by the intended victim - correct answer ✔✔insurer relies on the validity of the
submitted claim
damages - correct answer ✔✔payer suffers a monetary or loss as a result of the false claim
submission
answers already passed
Savings - correct answer ✔✔dollars that Cigna does not pay in claims
Recoveries - correct answer ✔✔dollars returned to Cigna because of litigation refunds or
recovery
3 aspects of fraud - correct answer ✔✔deception, intentional act, gain
collusion - correct answer ✔✔hcps working together to generate fraudulent claims that are
submitted to cigna for payment
false representation - correct answer ✔✔untrue information is submitted for payment purposes
actual knowledge of its falsity - correct answer ✔✔person who knowingly submits false
representations to an insurerer
intent to defraud - correct answer ✔✔has the intent to obtain payments for services not
covered under the plan
reliance by the intended victim - correct answer ✔✔insurer relies on the validity of the
submitted claim
damages - correct answer ✔✔payer suffers a monetary or loss as a result of the false claim
submission
