You can help stop health care fraud.

Health care fraud takes money from health care programs and leaves less money for medical care. Here are some ways you can help stop fraud and identity theft:

  • Report the loss or theft of your health plan card.
  • Only give your health plan card or number to a health care provider, a clinic, or a hospital when you are getting care, and be careful giving out your Social Security number.
  • Never let anyone borrow or use your health plan card.
  • Keep records of your medical visits, including dates, receipts, statements, and your notes.
  • Check your Explanation of Benefits carefully. Let us know if you see a charge for a service you didn’t have or receive a bill from a provider you didn’t see.
  • Shred your medical bills and records when you dispose of them.
  • Report potential fraud.

Learn more about how to spot Medicaid fraud and report it.

Health care fraud can happen on different levels. Learn more about:

How to Report Fraud to Community Health Plan of Washington

You can report fraud by completing a Report Potential Fraud Form and sending it to us:

By email at compliance.officer@chpw.org

By fax at (206) 521-8834 to the attention of the Compliance Officer, or

By  mail in an envelope clearly marked “Confidential” to:

Compliance Officer
Community Health Plan of Washington
1111 Third Ave, suite 400
Seattle WA, 98101

If you wish to report anonymously, you can send your report from a proxy fax number or email address. You may also contact our Customer Service team to report suspected fraud anonymously over the phone.

We strongly encourage you to complete a Report Potential Fraud Form to ensure that enough details are provided for our investigation. If you fill out a form, please be sure to include as many details as possible. If you choose to report without using a form, please be sure to include details such as dates of service, claim numbers, and names of related parties.

How to Report Fraud to the HHS Office of Inspector General

You can report fraud to the HHS Office of Inspector General by phone, mail or online:

Phone: 1-800-HHS-TIPS (1-800-447-8477)/ TTY: 1-800-377-4950

Mail:
HHS Tips Hotline
PO Box 23489
Washington, DC 20026-3489

Online: http://oig.hhs.gov/fraud/report-fraud/index.asp

Notifying Law Enforcement of Identity or Medical Identity Theft

To notify law enforcement:

  • Make a report to your local sheriff or police department. Make sure to ask for and keep a copy of the police report for your records.
  • Report it to the Federal Trade Commission's Identity Theft Hotline: 1-877-IDTHEFT (1-877-438-4338)

Fraud Prevention Policies and Procedures

Our Fraud Prevention Policies and Procedures are available for you to read and download.

Identity and Medical Theft Resources