CHRISTUS Health Plan has an aggressive, proactive fraud and abuse program that complies with state and federal regulations. We targets areas of health care-related fraud and abuse, including internal fraud, electronic data processing fraud and external fraud.
A Special Investigations Unit (SIU) detects, investigates and reports any suspected or confirmed cases of fraud, abuse or waste to the Office of Inspector General. During the investigation process, the confidentiality of the patient and of people referring the potential fraud or abuse case is maintained.
When reporting about a provider (a doctor, dentist, counselor, etc.), include:
When reporting about someone who gets benefits, include:
Please describe the activity that may be fraud or abuse. Some examples are:
Please provide your contact information as well so we can discuss your response with you:
If you suspect a provider or another member is guilty of fraud, abuse or waste, you can report it in one of three ways:
Last updated: 2/23/17