Report fraud, waste or abuse

If you suspect fraud, waste or abuse, you can report your concern below. Every report we receive is important, however, not every submission results in an investigation. Learn more about fraud, waste, and abuse here.

Description of activity

Please provide as much information as possible to help us identify and research the concern.

Doctor or Staff Name Leave blank if unknown or the concern involves the full office staff

Provider ID Provider NPI if known

Office Name Name of office or provider group

Office Location Street address if known

City *

State *

Member/Patient Name (If applicable)

Reason for concern * What do you think they are doing inappropriately? When did this issue happen?

How did you become aware of the potential issue?

Date Issue Identified When did you become aware of the potential issue?

Your relationship to the potential offender (Optional)

Your Contact Information (Optional)

You can report your concern without giving your name and contact information. Please note that the following information is confidential. However, by disclosing your name, you may be contacted for additional information and may be required to testify.

Your Name

Your Contact (Phone and/or Email)