Report Suspected Fraud

Report Suspected Fraud

To report possible health care fraud, you can submit the form below or call our 24-hour recorded confidential hotline toll free at 1 (888) 343-4221 or (423) 535-7900.

Please be aware that this form is neither secured nor encrypted. All information we receive from you is strictly confidential, and you may remain anonymous if you wish. Our system won't see your e-mail address unless you enter it into the form.

Person or Company Suspected of Fraud:
Name:    Required
Address:
City:
State:
Zip:
Phone:
Date of Incident(s):
Details of complaint:   Required
Insured's Information: (Information about the person who carries the insurance.)
Name:
Address:
City:
State:
Zip:
Home Phone:
Your Information: (This section is OPTIONAL if you choose to remain anonymous.)
Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Email Address:

Help Fight Fraud

This process may result in administrative or civil action taken against the person committing the act, in an attempt to recover dollars lost. Any act believed to be of a criminal nature will be referred to the appropriate law enforcement agency for their consideration.
Page Modified:May 6, 2011