reportfwa | home | Affinity Health Group | Monroe, LA

COVID-19 Updates & Vaccine Information

Report Fraud, Waste, and Abuse

Report of Possible Fraud, Waste or Abuse

Use this form to report any known or suspected activities. All reports received are confidential and you will never experience retaliation as a result of making a good faith report. To report anonymously, please call the Fraud Hotline at (800) 392-9249.

Name and contact information of individual reporting the alleged fraud or abuse.

Reporter Information


 Yes  No

Who is suspected of committing fraud, waste or abuse?

Please complete the below sections with as much information as possible.