Ipakaammo ti Panagkusit ken Panagabuso
If you feel that you or someone you know may be a victim of health care fraud, waste and abuse, please fill out the following form.
Here are some examples to look out for:
• Inappropriate billing by a provider
• Provider billing for services you did not receive.
• Someone using your identity to receive medical services.
• Someone you know, that might be intentionally defrauding the health care system.
You have the option to remain anonymous, but we would be limited in being able to contact you about your report.
Usaren daytoy a porma tapno idatag ti masuspetsa a panagkusit wenno abuso.
Maidawat a simpaenyo dagiti sumaganad a kamali:
Your name/organization (submitting report) ?
Fraudulent provider/member information (person engaging in fraudulent activity/who report is about)
Description of activity
Yes
No
