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Community First Health Plans
Member Suspicious Activity Report
Use this form to report fraud, waste, or abuse (or any suspicious activity) by a Community First Health Plans Member. Please provide detailed information about the suspicious activity or possible FWA and send all additional documentation to SIURequests@CFHP.com.

You may remain anonymous if you prefer. But if we need more information, it is best to be able to contact you so that we can complete our investigation as thoroughly as possible. All information received or discovered by Community First Special Investigations Unit (SIU) will be treated as confidential, and the results of investigations will be shared only with persons having a legitimate reason to know the information.

Reporter: Please fill in the information below about the person providing this information.

Member: Please fill out this section to report a member. If not reporting a member this section can be left blank.

Summary of Events: Please provide the details of the suspicious activity.

For more information about fraud, waste, and abuse, or to make a report using our online form, please go to: CommunityFirstHealthPlans.com/fraud-waste-abuse.

Please provide detailed information about the suspicious activity or possible FWA and send all additional documentation to SIURequests@CFHP.com.