Reporting Suspected Fraud, Waste, or Abuse

Please notify Community Health Options® if you suspect healthcare fraud, waste, or abuse has taken place. Community Health Options' Fraud Waste and Abuse team will begin researching materials such as claims records. All information received is strictly confidential. As specified under the HIPAA regulation, section 164.512 (f), Community Health Options may make referrals to law enforcement agencies for further investigation.

Request for Confidentiality*

Patient Involved Information

Person Submitting the Form

Person or Healthcare Provider Involved