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Reporting Fraud or Abuse

To report suspected fraud or abuse, you can:

  • Submit a Fraud Report Online to the DHA Program Integrity Office  
  • Report the suspected fraud or abuse to the appropriate contractor (see below) 
Type of Care/Program Who to Contact 
Medical

All TRICARE Plans except TRICARE For LifeMedicare-wraparound coverage for TRICARE-eligible beneficiaires who have both Medicare Part A and B.TRICARE For Life and the US Family Health PlanA Prime option available through networks of community-based, not-for-profit health care systems in six areas of the U.S.US Family Health Plan:

  • North (Health Net Federal Services)
  • South (Humana Military Healthcare Services)
  • West (UnitedHealthcare Military & Veterans)
  • Overseas (International SOS)

TRICARE For Life (Wisconsin Physicians Service):

US Family Health Plan:

  • Call 1-800-748-7347
Pharmacy

Contact Express Scripts:

Active Duty Dental Program

Contact United Concordia:

United Concordia Companies, Inc.
Special Investigations Unit
4401 Deer Path Road, DP-4F
Harrisburg, PA 17110

TRICARE Dental Program

Contact MetLife:

MetLife Special Investigations Unit-TRICARE
5950 Airport Rd
Oriskany NY 13424

TRICARE Retiree Dental Progam

Contact Delta Dental:

  • Report online 
  • Stateside: 1-888-838-8737
  • Overseas: (AT&T USADirect Access Number) + 866-721-8737

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2015 Annual Fraud and Abuse Report

Report
4/20/2016

2015 Annual Fraud and Abuse Report capturing all the activities of the Program Integrity Office to thwart fraud, waste and abuse.

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2014 Annual Fraud and Abuse Report

Report
12/31/2014

2014 Annual Fraud and Abuse Report capturing all the activities of the Program Integrity Office to thwart fraud, waste and abuse.

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Showing results 1 - 2 Page 1 of 1

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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