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Conduct Surveillance and Utilization Review (SUR) P.O. Box 240808 Anchorage, AK 995240808 Fraud Hotline: 800.256.0930 Fax: 907.644.8128 Email: SURSAK@conduent.comSuspected Fraud/Abuse Complaint Form
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How to fill out suspected fraud and abuse

How to fill out suspected fraud and abuse
01
Gather all relevant information and evidence related to the suspected fraud or abuse.
02
Determine the appropriate reporting channel or authority to report the suspected fraud or abuse.
03
Complete any necessary forms or documentation required for reporting the suspected fraud or abuse.
04
Provide detailed and accurate information about the suspected fraud or abuse, including date, time, location, and individuals involved.
05
Submit the report to the designated reporting authority and follow up on any additional information or actions required.
Who needs suspected fraud and abuse?
01
Suspected fraud and abuse should be reported by anyone who has knowledge or evidence of such illegal activities. This can include employees, customers, vendors, or any individual who may have witnessed or been impacted by the fraud or abuse.
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What is suspected fraud and abuse?
Suspected fraud and abuse refers to dishonest or wrongful behavior that is believed to be occurring within an organization or system.
Who is required to file suspected fraud and abuse?
Any individual who has knowledge or suspicion of fraud and abuse is required to file a report.
How to fill out suspected fraud and abuse?
Suspected fraud and abuse can be reported by filling out a form provided by the organization or by contacting the appropriate authorities.
What is the purpose of suspected fraud and abuse?
The purpose of reporting suspected fraud and abuse is to prevent further harm, protect the organization's assets, and uphold ethical standards.
What information must be reported on suspected fraud and abuse?
Information such as the nature of the suspected fraud, individuals involved, evidence, and any other relevant details must be reported.
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