Fraud, waste and abuse

Mercy Care takes fraud and abuse seriously. Protecting against fraud and abuse is everyone’s responsibility.

If you suspect fraud or abuse related to your Mercy Care coverage, you can report it by calling the Mercy Care Fraud Hotline at 1-800-810-6544.

Or, you can use the fraud and abuse reporting form below to submit it to Mercy Care online. Complete as much of the requested information as you can.
Note: Even if you provide your contact information, your identity will be kept confidential.

You can also report fraud, waste and abuse directly to AHCCCS-OIG.

  • If you suspect provider fraud, you can call 602-417-4045 in Arizona or 1-888-ITS-NOT-OK (1-888-487-6686) outside of Arizona.
  • If you suspect member fraud, you can call 602-417-4193 in Arizona or 1-888-ITS-NOT-OK (1-888-487-6686) outside of Arizona.

Or, you can submit information about suspected fraud, waste and abuse to AHCCCS.

 

Fraud, waste and abuse reporting form:

* Required Fields

Fraud and Abuse Reporting Form

Optional information: You don’t need to give us your name or contact information. But if you do, we’ll keep it confidential. You can also choose to give us just your contact information and not your name.

If you choose not to give your contact information, our review will be only about the information you’re reporting. It’s important that you give us as much information as you can. It will help us do a complete and correct investigation.