Legal analysis: medical institutions fabricate medical services, forge medical documents and bills, and defraud medical insurance funds; Providing false invoices for the insured; Medical expenses that should be borne by individuals are recorded in the scope of payment of medical security funds; Handling medical insurance benefits for those who do not belong to medical insurance coverage; Providing credit card bookkeeping services for non-designated medical institutions; Nominal hospitalization; Exchange drugs, consumables, articles, diagnosis and treatment projects, etc. Defrauding medical insurance funds. It is an act of cheating medical insurance.

Designated retail pharmacies steal medical insurance identification, take cash for the insured or buy non-medical items such as nutrition and health products, cosmetics and daily necessities; Changing medicines, consumables and articles for the insured to defraud the medical insurance fund; Providing credit card bookkeeping services for non-designated medical institutions; Falsely issuing invoices or providing false invoices for the insured.

Legal basis: Interim Measures for Rewarding Acts of Reporting Cheating Medical Insurance Funds Article 10 An informant shall be rewarded if he meets the following conditions:

(a) the report is verified, resulting in the loss of the medical insurance fund or avoiding the loss of the medical insurance fund due to the report;

(two) the main facts and evidence provided by the informant have not been mastered by the administrative department of medical security in advance;

(3) Informants choose to report and get rewards.