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Fraud Report

Use this form to report suspected fraud. You don't need to complete all the boxes to submit this report. But please be sure to include complete information about the person or company you suspect of committing fraud to assist us in reviewing this report.

Your Information (Optional)

Prescription Drug Fraud
Medical Fraud
Your name
Address
City
State
Zip
Home phone
Work phone
E-mail address

Person or Company You Suspect of Fraud



Name
Address
City
State
Zip
Home phone
Work phone
Dates of service(s)

Person This Affected



Name
Blue Shield I.D. number
Address
City
State
Zip
Home phone
Work phone
Report

 
 
If you don't want to submit this form online, you can also contact us by:

Fax
(844) 660-6743

Mail
Blue Shield of California
Special Investigations
3300 Zinfandel Drive
Rancho Cordova, CA 95670

E-mail
stopfraud@blueshieldca.com