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Fraud and Abuse
> Report Fraud and Abuse
Report Suspected Fraud and Abuse
Please complete the following form if you suspect an incident of fraud or abuse has occurred.
Who do you suspect is committing fraud?
Type of Physician:
What fraudulent activity occurred?
(Please describe in as much detail as possible.)
(If the fraud involves services provided to you.)
Any additional comments?
May we contact you?
(If additional information is necessary.)
Daytime Phone Number:
Indicates Required Fields
Fraud & Abuse
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