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 a TotalCare 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 TotalCare member and have any concerns about this form or a compliance concern, you can call Member Services at 833-530-9015, Monday-Friday, 8 a.m. to 8 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 Member Services
- Monday through Friday, 8 a.m. to 8 p.m.
- Phone: 833-530-9015
- Deaf and Hard of Hearing Assistance
TTY: 800-735-2929 (Dial 711) - Nurse Advice Line
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