INDEPENDENT BENEFIT AUDITING

Steven Wisneski RHU, LHIC

 

Blue Cross Bluse Shield logo

 

If you suspect, experience or witness healthcare fraud, immediately report an incidence of fraud to your local Blue Cross Blue Shield company. You can email us or call the antifraud hotline 1-877-327-BLUE (2583), and you are also encouraged to report fraud incidence with our partners.

 

Physicians Health Plan Logo
 

Please call the PHP Compliance Hotline at 517.267.9990 if you detect fraud or abuse. Calls can remain anonymous and confidential.

You also can send a letter to:

Attn: Compliance Department
Physicians Health Plan
PO Box 30377
Lansing, MI 48909-7877


Priority Health Logo
 
 

If you suspect someone of fraud or abuse, please help us keep costs down. Contact us immediately.

You do not have to give your name. You may remain anonymous.

How to notify Priority Health of suspected fraud, waste or abuse

By phone

Call Customer Service at 616.942.4765 or 800.942.4765 
Monday through Thursday 7:30 a.m. to 7:00 p.m., Friday 9:00 a.m. to 5:00 p.m., Saturday 8:30 a.m. to 12:00 p.m. 
OR 
Call the 24-hour Compliance Hotline at 800.560.7013. 

By mail, fax or email

  1. Download, complete and mail the Fraud, Waste & Abuse Report form (2.2MB PDF) 
  2. Send the form to:
Fraud and Abuse Program 
Priority Health, MS 3175 
1231 East Beltline NE 
Grand Rapids, MI 49525-4501 
OR 
Fax it to "Fraud & Abuse Program" at 616.942.7916 
OR 


If you are a federal employee or retiree, you can report potential healthcare fraud by calling 1-800-337-8440.

Suspicions or knowledge about fraud, waste and abuse regarding Medicaid services can be shared directly with the State of Michigan Office of Inspector General by calling 1.855.MI.FRAUD (643.7283), going online at www.michigan.gov/fraud or by sending a letter to:

Office of Inspector General

PO Box 30479

Lansing, MI 48909

Reporting to the Office of Inspector General can be done anonymously.

How to notify the Medicaid and MIChild programs

If you suspect someone of committing fraud or abuse, you may also contact the State of Michigan directly.

You do not have to give your name. You may remain anonymous.

Call the State of Michigan toll-free at 855.MI-Fraud (855.643.7283).

OR 

Use the online complaint form at the michigan.gov website.

OR 

Write to:

Office of the Inspector General

PO Box 30062

Lansing, MI 48909

 

 

 
USAO Seal
USAO WDoM image
 

For Medicare Fraud:
The Inspector General’s Hotline: 1-800-HHS-TIPS (1-800-447-8477)
The Inspector General’s Web site: http://www.oig.hhs.gov

The Inspector General’s Mailing Address:

The Office of the Inspector General
United States Department of Health and Human Services
HHS-TIPS Hotline
Post Office Box 23489
Washington, D.C. 20026

The Michigan Attorney General’s Hotline: 1-800-242-2873

For Quality of Care Complaints:

The Michigan Peer Review Organization Hotline : 1-8700-365-5889


For More Information about the Medicare Program & Related Issues:

United Government Services: 1-800-531-9695
Adminastar Federal, Inc.: 1-800-270-2313

 

How to notify the Federal Employees Health Benefits (FEHB) program

Online: Go to www.opm.gov/oig

OR

Write to:

United States Office of Personnel Management 

Office of the Inspector General Fraud Hotline 

1900 E Street NW, Room 6400 

Washington, DC 20415-1100


Updated January 28, 2015