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Who do I send my report to?
If you suspect fraud, waste or abuse related to your Aetna Better Health® of California coverage, you can:
Call us
Report suspected cases to Aetna Better Health of California's Fraud and Abuse hotline:
1-855-321-3727 (TTY: 711)
Call the state
Report suspected cases to the state of California's Medicaid Fraud and Abuse hotline:
Mail a report
You can mail your report to:
Aetna Better Health of California
Attn: Special Investigations Unit
10260 Meanley Drive
San Diego, CA 92131
Provider fraud
Provider fraud
Provider fraud, waste and abuse includes:
- Falsifying medical records
- Prescribing more medication than is medically necessary
- Giving more health care services than medically necessary
- Billing for services that were not rendered
- Billing for items not provided
- Billing for professional services when a medical professional did not perform the service
Member fraud
Member fraud
Member fraud, waste and abuse includes:
- Lending, selling or giving a health plan ID card or Medi-Cal Benefits Identification Card (BIC) to someone else
- Getting similar or the same treatments or medicines from more than one provider
- Going to an emergency room when it is not an emergency
- Using someone else’s Social Security number or health plan ID number
- Receiving money or gifts in exchange for having medical services
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