How to Report Fraud and Abuse

If you suspect someone of fraud or abuse, please help us keep costs down. Contact Priority Health immediately; you don't have to give your name.

Information we'll ask you for

• The name of the Priority Health member involved in the fraud or abuse
  
• The Priority Health member's card number (if possible)
• The name of the doctor, hospital, or other health care provider
• The date of service you suspect is fraudulent or abusive
  
• The amount of money that Priority Health paid (if possible)
• A description of the acts that you suspect involve fraud and abuse
• Your name and telephone number (optional)

Notify us by phone
Call the 24-hour Compliance Hotline at 800 560-7013.
OR
Call Customer Service at 616 942-4765 or 800 942-4765
Monday through Thursday 7:30 a.m. to 7:00 p.m., Friday 9:00 a.m. to 5:00 p.m., Saturday 8:30 a.m. to 12:00 p.m.


Notify us by mail

1. Download, complete and mail the Complaint Submission Form (requires Adobe® Reader®)
2. Send the form to:

Fraud and Abuse Program, Finance Department
Priority Health, MS 2305
1231 East Beltline NE
Grand Rapids, MI 49525-4501

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