FAQs
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I received an explanation of benefits for services I didn’t receive. Is this fraud?
I'm newly divorced. Is it Okay to keep my ex-spouse on my coverage?
PEHP Member GuideMy doctor billed my health plan for an office visit when all I did was pick up a prescription. I never saw my doctor. Can he charge for this?
I think my doctor may be billing fraudulent charges. If I report this and you later confirm that no fraud was committed, will my provider know I reported him?
What are the most common types of provider fraud?
If you suspect healthcare fraud you can file a confidential, anonymous complaint by contacting Global Compliance Services, an independent third party, by calling 888-475-8376. You may also submit a confidential, anonymous report here.