Report Possible Fraud and Abuse

Please call our fraud hotline at 800-372-8321 or complete the following form if you suspect an incident of fraud or abuse has occurred. Your privacy is important to us; all referrals are confidential.

Would you like to remain anonymous?

Yes

Your Information

First Name

Last Name

Street Address

Street Address 2

City

State

Zip Enter a valid ZIP

Email Address Enter a Vaild Email Address.

Phone Number Enter valid Telephone Phone Number.

Member ID Number Verify you have entered the number exactly has it appears on your ID card.

Provider/Person You Are Reporting

First Name

Last Name

Provider Number (if applicable)

Facility/Clinic Name (if applicable)

Type of Provider (if applicable)

Summary of Complaint (Please limit to 500 characters) Verify you have entered the number exactly has it appears on your ID card. 500 characters remaining

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Report Possible Fraud and Abuse