Anti-Fraud

Fraud & Abuse Tip Referral Form

Please complete this form if you believe that fraud and/or abuse may have occured to you, a family member, or a coworker. Any individual, entity, or group that is employed by or provides a service on behalf of AmeriHealth (including employees, subscribers, professional providers, employees of a provider, facilities, or billing companies) may be the subject of the complaint.

 

The form will be forwarded to the Corporate and Financial Investigations Department for review/evaluation. You will receive a response to your complaint, unless you choose to remain anonymous.

Your Information - Not Required

 
 
 
 
 
 
 
 
 
 
 
 
 

Subject You Are Reporting

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Summary of Complaint

 

Would you like to remain anonymous?

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