How Can I Help Stop Health Care Fraud?

Health care fraud takes money from health care programs and leaves less money for real medical care.

Here are some ways you can help stop fraud:

  • Give your Community Health Plan ID card or your ID number only to a health care provider, a clinic, or a hospital.
  • Give your ID only when you are getting care.
  • Never let anyone borrow your Community Health Plan ID card.
  • Never sign a blank insurance form.
  • Always be ready to show picture ID when checking in for a medical appointment.
  • Be careful about giving out your Social Security number.

Report Potential Health Care Fraud to Community Health Plan

If you want to report possible health care fraud, please complete a Report Potential Fraud Form and send it to the Compliance Officer:

  • By email at compliance.incident@chpw.org
  • By fax at (206) 521-8834 to the attention of the Compliance Officer
  • By  mail in an envelope clearly marked “Confidential” to:

Compliance Officer
Community Health Plan
720 Olive Way, Suite 300
Seattle WA, 98101

If you wish to report anonymously, send your report from a proxy fax number or email address.  You may also contact one of our Customer Service teams to complete a Report Potential Fraud Form anonymously over the phone: 

  • Medicare Members: 1-800-942-0247 (toll free) 8am-8pm, 7 days a week.
  • All Other Members: 1-800-440-1561 (toll free) 8am - 5pm, Monday - Friday.
  • If you are hearing or speech impaired, please call TTY Relay: Dial 7-1-1.

We strongly encourage you to complete a Report Potential Fraud Form to ensure that enough details are provided for our investigation.