Report Compliance and Fraud, Waste and Abuse Concerns
Fill out this form to report potential compliance concerns. There are examples of compliance concerns listed below. You can use this form to report a concern anonymously.
All fields marked with * are required and must be filled.
Please do not use this form to file a grievance or a dispute. If you are an Alliance member and you need to file a grievance or a dispute, please visit our grievance page.
If you are a provider and have any concerns about this form, the Alliance’s Program Integrity Unit or HIPAA standards, please contact your Provider Services Representative.
If you are an Alliance member and have any concerns about this form or a compliance concern, you can call Member Services at 800-700-3874, Monday-Friday, 8 a.m. to 5:30 p.m. If you need language assistance, we have a special telephone line to get an interpreter who speaks your language at no cost to you.
For the Hearing or Speech Assistance Line, call 800-735-2929 (TTY: Dial 711).
Contact Provider Services
| General | 831-430-5504 |
| Claims Billing questions, claims status, general claims information |
831-430-5503 |
| Authorizations General authorization information or questions |
831-430-5506 |
| Authorization Status Checking the status of submitted authorizations |
831-430-5511 |
| Pharmacy Authorizations, general pharmacy information or questions |
831-430-5507 |
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