Florida Health Solution HMO Company has made a commitment to detecting, correcting, and preventing fraud and abuse. Our success in this effort requires the assistance of physicians, members and business partners. This effort will ensure that our health system continues to be affordable for everyone.

What is Fraud and Abuse?

Fraud is when a provider or member knowingly gives false information that allows someone to get a benefit that is not allowed.

Billions of dollars is lost to health care fraud every year. That means money is paid for services that may never have been given. It could also mean that the service that was billed was not the one that was performed.

If you suspect fraud or abuse in the healthcare system, you may contact FHS HMO Company.

To report Fraud and Abuse you can contact FHS HMO

Fraud and Abuse Unit: 1 (844) FHS-PLAN

Fax: (305)269-2041

Email: fraudandabuse@fhshmo.com

AHCA:
http://ahca.myflorida.com/


Fraud and Abuse

* Required Information Name of the Provider or Member
* Last Name: Suffix:
* First Name: Middle Initial:
Organization Name:
Address of Provider or Member:
Address Line 1: City: Zip Code:
Address Line 2: State:
* Telephone Number: Ext:

Additional information about the provider or member (Identification Number, license number, telephone number, etc.):

*Please describe the suspected fraud or abuse (e.g. billing for a more expensive service than was actually rendered, billing for a services that were not rendered or ordered by the practitioner, etc.). Please provide as many details as possible - who, what, when, where, why and how:



Optional Information

Provide your name, phone number and/or e-mail address so that we may contact you for more information if necessary. You may also submit your information anonymously.

* Last Name: Suffix:
* First Name: Middle Initial:
Organization Name:
Address of Provider or Member:
Address Line 1: City: Zip Code:
Address Line 2: State:
* Daytime Phone: Ext:
* Evening Phone: Ext:
* Fax Number:: Email Address:


Thank you,