Fraud, Waste & Abuse (FWA) Submission Form

If you suspect an incident of fraud, waste or abuse, you may submit this form. Do not include any patient-specific information.


For general inquiries, prescription/claim status, HSA questions, or complaints please contact the number listed on your ID card.


If you are a Medicare member, you may call 1-800-Medicare (1-800-633-4227).

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Please provide a detailed explanation of your question/inquiry.

Do NOT enter any patient-specific information like Date of Birth, Member ID, Social Security # as these are considered Protected Health Information (PHI). This information will be requested as needed.

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