Anti-fraud

Fraud & Abuse Tip Referral Form

Please complete this form if you believe that fraud and/or abuse may have occurred to you, a family member, or a coworker. Any individual, entity, or group that is employed by or provides a service on behalf of Independence Blue Cross (including employees, subscribers, professional providers, employees of a provider, facilities, or billing companies) may be the subject of the complaint.

The form will be forwarded to the Corporate and Financial Investigations Department for review/evaluation. You will receive a response to your complaint, unless you choose to remain anonymous.

Your Information – Not Required

 
 

Subject You Are Reporting

 Yes  No