Report Suspected Fraud and Abuse

Please call our fraud hotline at 1-833-663-8714 1-833-663-8714 or complete the following form if you suspect an incident of fraud or abuse has occurred.

In order to quickly investigate your report, please provide as much information as possible.

Who do you suspect is committing fraud?

Prefix

Optional

Suspected Provider's Name

Suspected Provider's Name is required.

Suffix

Optional

Type of Physician

Optional

If applicable.

Address

Address is required.

City

City is required.

State

State is required.

Zip Code

Zip Code is required.

Suspected Provider's Phone Number

Optional

Enter number in the format (000) 000-0000.

What fraudulent activity occurred?

Please provide as much detail as possible.

Fraudulent Activity is required.

Optional

If the fraud involves services provided to you.

Any additional comments?

Optional

May we contact you if additional information is necessary?

Name

Optional

Contact Phone Number

Optional

Enter number in the format (000) 000-0000.

Email Address

Optional

Invalid email address format: name@domain.com.