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Fraud & Abuse Form

Please complete the form if you suspect or have information regarding an incident of fraud or abuse. Completing and submitting this form will initiate a request to the Special Investigative Unit (SIU) at Presbyterian Health Plan (PHP) to begin an investigation.

Due to confidentiality limitations, you will not be notified of the results of the investigation.

* = indicates required fields

Please provide the address and contact information for the individual or company that you suspect of committing fraud or abuse.

(Please include dates, names, and locations)

Attach Supporting Documentation
Total size of all files should not exceed 4MB.
Allowed file types: .doc, .docx, .rtf, .xls, .xlsx, .pdf


If you would rather contact or send us your documentation, please use of the of the following options:

Presbyterian Health Plan
c/o Special Investigative Unit
P.O. Box 27489
Albuquerque, NM 87125-7489
(505) 923-5959
(800) 239-3147
(505) 923-5924

Please give use your contact information so that we may contact you with any additional questions regarding our investigation.


Need Help?

505-923-5678 or 1-800-356-2219
7:00 a.m. - 6:00 p.m.
myPRES Assistance
505-923-5590 or 1-866-861-7444

We have free interpreter services to answer any questions you may have about our health or drug plan. Call us at 1-855-592-7737 (TTY 711).