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Program integrity referral form

If you, in good faith, have a suspicion that a TRICARE provider or a beneficiary have committed an act of fraud or abuse, you may report this suspicion to Humana Military Program Integrity. All allegations of fraud and abuse are investigated to determine whether there is sufficient evidence to report the case to the government for further investigation.

Please complete as many of the following fields as you have knowledge.

 * Denotes Required fields

Referral details

       Beneficiary          Provider

Allegation information

Contact information



Additional information

Yes          No

Yes          No



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