Please complete the following form if you believe an incident of fraud or abuse has occurred. This form
will initiate a referral to the Special Investigation Unit at Health First Health Plans for further
investigation.
To protect the confidentiality of all parties involved, you willnot be notified
of the results of the investigation. Please fill out all relevant sections and click the SEND button.
Y0089_MP4417FH CMS Approved 11242014 Last updated: 11/05/2014