Fraud, Waste, & Abuse Form

About the suspected member or provider:

This form is to tell us of suspected waste, fraud or abuse of services paid for by Highmark Health Options.

Please fill in as much of the information as you can below and click the submit button.

Tell us about the activity that may be waste, fraud or abuse. Give details that tell us who, what, when, where,why and how. Some examples are:

  • Billing for services you did not receive
  • Someone using your identity to receive medical services.

How can we contact you?

Please provide your contact information so we can contact you is we have questions. Your identity will be protected to the extent allowed. Thank you for helping Highmark Health Option’s efforts to find waste, fraud and abuse.

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