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For Our Members | Report Fraud and Abuse

If you suspect Fraud and Abuse, please let us know. It is not required that you identify yourself. If you would like more information about what constitutes Fraud or Abuse, click Define Fraud or Define Abuse.

Report Fraud and Abuse call Chartered’s Compliance Hotline, 1-800-688-2594 or Call the D.C. Medical Assistance Administration Fraud Hotline at 1-877-632-2873. Also, you may report Fraud and Abuse in writing by using the form below:

Please use this form to report suspected fraud or abuse of services paid for by DC Chartered Health Plan, Inc. Be advised that Chartered does not discriminate or take any adverse action against anyone who in good faith reports suspected fraud, waste or abuse. Please complete as much of the requested information as you can below. Information on the Suspected Member or Provider:
Last Name:
First Name:
Middle Initial:
Suffix:
Provider or Practice Name:
Street Address:
Suite/Office Number:
City:
State:
Zip:
Telephone:
Ext.:
Please include other information about the suspected member or provider.
*Please describe the activity that may be fraud or abuse. Some examples are: billing for services you did not receive and someone using your identity to receive medical services. Please provide details that tell us "who, what, when, where, why and how."
Optional Information: While you don't have to identify yourself, we would like to be able to discuss your response with you. If you wish, please provide your name, phone number, address and/or email address below. We will contact you for more information if needed. If you provide your contact information, your identity will be protected to the extent allowed. Thank you for helping DC Chartered Health Plan, Inc.’s efforts to detect fraud and abuse.
Last Name:
First Name:
Middle Initial:
Suffix:
Street Address: