Reporting Potential Medicare non-compliance and Fraud Waste and Abuse

Potential Non-Compliance:

Providence Health Plan suggests following these protocols for reporting potential Medicare non-compliance:

Potential Fraud, Waste and Abuse:

Providence Health Plan suggests the following protocols for those who might receive anonymous tips and referrals. The reporter or recipient of a tip can:

  • Complete the External Referral Form for Potential Fraud, Waste and Abuse (PDF) and fax it securely to 503-574-8142; or
  • Call Providence Health Plan’s Special Investigations Unit at 503-574-8505 or toll-free at 888-233-4101; or
  • Mail a letter to:
    Special Investigations Unit
    Providence Health Plan
    P.O. Box 3150
    Portland, OR 97208-3150