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Fraud, waste and abuse

We take fraud, waste and abuse seriously. Fraud is an intentional crime of gaining money or financial benefit by deception or lying. Waste is the overuse of health care services in a careless manner. And abuse is payment for unneeded or unnecessary services. Preventing fraud, waste and abuse is everyone’s responsibility.

Report fraud, waste and abuse

Call us to report it at 1-800-810-6544. Or fill out the online form on this page. Complete as much info as you can. If you provide your contact info, we’ll keep your identity private.

You can also report fraud, waste and abuse to Arizona Health Care Cost Containment System Office of Inspector General (AHCCCS-OIG):

Online at the AHCCCS-OIG website
By email to AHCCCS-OIG
By phone
- Provider fraud:  602-417-4045 in Arizona or 1-888-ITS-NOT-OK (1-888-487-6686) outside Arizona
- Member fraud: 602-417-4193 in Arizona or 1-888-ITS-NOT-OK (1-888-487-6686) outside Arizona

We encourage everyone to report identified or suspected fraud, waste or abuse affecting our Mercy Care Advantage Medicare contract. Mercy Care coordinates with the Aetna Special Investigation Unit (SIU) to investigate potential fraud, waste or abuse identified under the Mercy Care Advantage Medicare contract.  

The SIU investigators will conduct appropriate outreach to providers to obtain medical record information required to support their investigation efforts. Contracted providers must comply with these types of requests as outlined in their Mercy Care provider agreement.

If you suspect fraud or abuse related to Mercy Care Advantage, contact the Aetna SIU:

By phone: 1-800-338-6361
By fax: 1-860-975-9719
By email

Or, you can use the form on this page to submit it directly to Mercy Care. Complete as much information as you can. You can also report suspected Medicare fraud, waste or abuse to Medicare or the Office of the Inspector General (OIG):

By phone
- Medicare: 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048), 24 hours a day, 7 days a week
- OIG: 1-800-HHS-TIPS (1-800-447-8477, TTY 1-800-377-4950)
Online at the OIG website

Learn more about Medicare-related fraud.

Report fraud, waste and abuse

Tell us about fraud, waste or abuse you suspect. You’ll want to fill in all fields with an asterisk (*).

*HEALTH PLAN

*SUBJECT OF COMPLAINT

*Their Name

*Their Address 1

Their Address 2

*Their City

*Their State

*Their Zip Code 12345

Their Phone Number 123456789

*Tell Us Why

Tell us why you suspect this person, company or facility of wrongdoing. For example, what they did, when it happened and anything else you need us to know. 

Your info (optional)

You don’t need to give us your name or contact info. But if you choose to, we’ll keep it private. You can also choose to give us just your contact info and not your name.  

We’ll only review the info that you choose to report. You’ll want to give us as much info as you can. That way, we can understand what happened. 

First Name

Last Name

Address 1

Address 2

City

State

Zip Code 12345

Phone Number 1234567890

EXT

EMAIL ADDRESS sample@example.com

PREFERRED CONTACT METHOD

PREFERRED CONTACT TIME

Organization Name