KelseyCare Advantage accepts tips and notifications from all sources about potential fraud, waste, abuse, and mismanagement related to our Medicare Advantage members, plan, providers, pharmacies and employees. Every report we receive is important, and each submission will be reviewed and/or investigated. We appreciate your efforts to help us stop fraud, waste, and abuse.

Definition of Fraud: knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program or to obtain (by means of false or fraudulent pretenses, representations, or promises) any of the money or property owned by, or under the custody or control of, any health care benefit program. 18 U.S.C. § 1347.

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* *Please describe the fraudulent action or compliance issue in your own words:
This is your opportunity to provide additional details about your complaint. Our investigations are most successful when you provide as much information as possible about the allegation and those involved. The more you tell us, the better chance we have of determining whether an investigation can be pursued. Please provide details about the alleged wrongdoing including, if applicable, when it happened, where it happened, how it was committed and how you came to learn about the wrongdoing. If you would like to provide supporting documentation, you can email the information to MedicareFraudHotline@KelseyCareAdvantage.com.

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* If you would like for us to contact you about your submission, please provide your contact information in the form below. This is not required and your submission can be submitted anonymously.

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