Fraud report | Blue Shield of CA

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)

Your name

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Address

*Max character limit reached

/1500

City

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State

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Enter your ZIP code

Home phone

Please enter valid phone number.

Work phone

Please enter valid phone number.

E-mail address

Please enter valid email address.

PERSON OR COMPANY YOU SUSPECT TO FRAUD

Your name

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*Max character limit reached

/1500

City

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State

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Enter your ZIP code

Home phone

Please enter valid phone number.

Work phone

Please enter valid phone number.

Dates of service(s)

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PERSON THIS AFFECTED

Your name

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*Max character limit reached

/1500

City

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State

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Enter your ZIP code

Home phone

Please enter valid phone number.

Work phone

Please enter valid phone number.

*Max character limit reached

/1500

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

© California Physicians’ Service DBA Blue Shield of California 1999-2023. 保留所有权利。 California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 健康保险产品是由 Blue Shield of California Life & Health Insurance Company 提供的。健康计划是由 Blue Shield of California 提供的。