Please complete this form if you believe that health care fraud and/or abuse may have involved you, a family member or a coworker. Any individual, entity or group that is employed by or provides a service on behalf of Highmark (including employees, members, professional providers, employees of a provider, facility, pharmacy or billing company) may be the subject of the complaint.
This form will be forwarded to the Financial Investigations and Provider Review (FIPR) department for review and evaluation. You will receive a response to your complaint unless you chose to remain anonymous.
Note: To ensure your privacy, all information will be sent via a secure connection. Due to the nature of these investigations, every effort will be made to keep information confidential.
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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Blue Cross Blue Shield of Western New York serves eight counties in Western New York and Highmark Blue Shield of Northeastern New York serves 13 counties in Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.
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