About Us|Patients & Members|Health Plans|Hospitals & Clinics|Programs & Services|Doctors|Healthy Living|Careers

PHP Fraud and Abuse Reporting

Use this form to report suspicious activity to Presbyterian Health Plan and Presbyterian Insurance Company.

 

Report Suspected Fraud and Abuse Activity

Please complete the following form if you think an incident of fraud or abuse has occurred. This form initiates a request to the Special Investigative Unit (SIU) at Presbyterian Health Plan (PHP) for investigation.

  • You will NOT be notified of the results of the investigation due to confidentiality constraints.
  • Please fill out all relevant sections and press the SUBMIT button at the bottom of the form.
Issue Type: Member Provider Not Sure
Name of the person or company that you suspect may be committing fraud:
Location of the individual or company that you suspect may be committing fraud:
Address (Street or PO Box):
City:
State:
Zip Code:
Telephone Number:
Member first and last name (if applicable):
Please describe the fraudulent activity in as much detail as you can including dates and names:
If you have further comments not covered by these questions, please type them in the field below:
Do you have files you would like to send us as documentation?
Upload File1
Upload File2

or

If you would like to send supporting documentation, please:
  • FAX to: (505) 923-5924
  • Telephone: (505) 923-5959 or (800) 239-3147
  • Mail to: PHP SIU PO Box 27489 Albuquerque, NM 87125-7489
We may need additional information or details to complete our investigation.

Please leave your name and your daytime telephone number or email address, if you are willing, so that we may contact you.
Name:
Daytime Telephone Number:
Email Address: