MFCU Provider Fraud Complaint Form

MFCU Provider Fraud Complaint Form

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File a provider fraud complaint using our online form. Fraud relates to physicians, dentists, pharmacists, or other healthcare providers.
 
Please provide as much information as possible about the matter.
 
* Denotes required fields
 

Incident Date: *

Description of Fraudulent Activity

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Allowed File Types: .pdf, .doc, .docx, .rtf, .zip, .tiff, .bmp, .jpeg, .png, .xml, .csv, .xlsx

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