Health Care Fraud Complaint Form

Use this form to report suspected health care fraud.

Your complaint is private. Your information will not be shared with the individual(s) involved.

Your SFHP Member ID Number (11-digits):

Your First and Last Name:

Please provide your email address and/or phone number so that we can contact you regarding this issue.
Your Email Address:

Your Phone Number:

Provider (a person who gives you medical care, such as a doctor, nurse, or therapist)
Other individual(s)

*First Name: Please enter text only

*Last Name: Please enter text only

Address:

City:

State:

*Fraud Description:

*Required fields