14 types of behaviors of designated medical service institutions, designated pharmaceutical trading units, insured individuals and other personnel belong to fraudulent behaviors of medical insurance funds.

2 allowing or inducing uninsured individuals to be hospitalized in the name of the insured.

3 the medical expenses that should be paid by the insured individuals at their own expense should be reported to the medical insurance fund for payment.

4 hanging the bed and being hospitalized, or treating the insured individuals who can be treated in outpatient service.

5. Transitional medical care or unnecessary medical services are provided by means of repeated registration for insured individuals, repeated or no indication treatment, broken hospitalization, etc.

6. Violating the provisions on the scope or varieties of drugs used in medical insurance, using drugs with special restrictions in excess, repeatedly, or illegally, or dispensing drugs for insured individuals by decomposing or changing prescriptions.

7 merging the expenses incurred by non-designated medical institutions into the expenses of designated medical institutions and the medical insurance agency for settlement.

8 assisting the insured individual to withdraw the medical insurance personal account fund or the overall fund.

9 those who raise the charging standard, increase the charging items, decompose the charging, repeat the charging, expand the charging scope and other illegal charging behaviors without authorization.

1. Cheating to obtain medical insurance funds or personal account funds by means of false reports or false data transmission.

11 selling drugs for non-designated drug business units and swiping social security cards on their behalf.

12. Swapping expenses such as drugs, diagnosis and treatment items, medical materials, medical service facilities or daily necessities, and health-care tonics outside the scope of medical insurance payment for expenses within the scope of medical insurance policy, applying for medical insurance settlement, and taking funds to pay.

13 forging or using false medical records, prescriptions, inspection and laboratory reports, disease diagnosis certificates and other medical documents to defraud the medical insurance fund.

14 using false medical bills for reimbursement.

15 other behaviors that violate the relevant provisions of social insurance and cause losses to the medical insurance fund.

Further reading: How to buy insurance, which is better, and teach you how to avoid these "pits" of insurance.