Preventing and Reducing Fraud and Abuse

Fraud and abuse occur when someone gives false information to receive health care benefits and/or services. Fraud and abuse include:

Under-reporting income and insurance
Under-reporting resources and assets, such as bank account, stocks, bonds, home property
Falsely reporting household income
Not living in Maryland
Selling prescription medications
Making changes to a written prescription

Fraud and Abuse Response Form

Please use this form to report suspected fraud or abuse of services paid for by Maryland Physicians Care. Please complete as much of the requested information as you can below.

I suspect (name below) of fraud or abuse*
This person's address*
Street Address City State ZIP Code
What is the phone number?
Are you a doctor or health care facility?*
- Yes
- No
What is the name of the doctor's practice or health care facility?
Please tell us why you suspect this person of wrong doing. For example, what the person did, when it happened, etc.*
Optional Information
You don’t need to give us your name or contact information. But if you do, we’ll keep it confidential. You can also choose to give us just your contact information and not your name.
If you choose not to give your contact information, our review will be only about the information you’re reporting. It’s important that you give us as much information as you can. It will help us do a complete and correct investigation.
Person Reporting
First Last
Address
Street Address City State ZIP Code
Phone Number
Email Address
Comments
This field is for validation purposes and should be left unchanged.

Preventing and Reducing Fraud and Abuse

Fraud and Abuse Response Form

Optional Information

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