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Ipakaammo ti Panagkusit ken Panagabuso

Most providers and members are honest. Some are not. Fraud occurs when a provider or member knowingly gives false information that allows someone to get a benefit that is not allowed. Billions of dollars are lost to health care fraud every year. That means money is paid for services that may never have been given. It could also mean that the service that was billed was not the one that was performed.

Use this form to report suspected fraud or abuse.

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Name of Person/Organization

First Name *

Last Name *

Organization Name

Contact Information of Person/Organization

Email Address

Phone Number *

Street Address

City

Zip Code

Please enter additional information about the person/organization

Description of Activity

Please describe the suspected fraud or abuse *

Your Contact Information

First Name *

Last Name *

Organization Name

Email Address

Phone Number *

Street Address

City

Zip Code

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