It is in your best interest to prevent and detect FWA by reporting suspected individuals, entities, and activities. Central Health Plan of California is committed to detecting and preventing health care fraud, waste, and abuse. Central Health Plan takes all allegations of fraud, waste, abuse or other compliance issues very seriously.
If you suspect fraud, waste, or abuse, report to Central Health Plan through one of the following methods, c/o Annie Hsu Shieh, Senior Compliance Director:
The Central Health Plan Compliance Hotline (626-388-2392) is a dedicated telephone line and voice mailbox that can be used twenty-four hours a day, from any location, for reporting concerns or violations.
1540 Bridgegate Drive, Diamond Bar, CA 91765
Individuals wishing to report a suspicious incident may identify themselves, or remain anonymous.
Thank you for helping us fight fraud, waste, and abuse!
Health care fraud, waste, and abuse (FWA) cost taxpayers billions of dollars each year. You can help stop fraud, waste, and abuse by reporting it. Some examples of FWA are:
If someone files a claim in your name for a service you did not receive, they are altering your health care history with false information.
This false information could:
Central Health Plan members may be the first line of defense to prevent and identify health care fraud, waste, and abuse. Below are some important tips to keep in mind: