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Fraud and Abuse Report Form

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To report suspected fraud or abuse, please complete the information requested below. Please be as detailed as possible. Incomplete or lack of information may prevent Blue Cross NC from investigating this matter fully.

* required fields

Your Information. This section is optional — you may choose to remain anonymous.

Insured's Information: (Person who carries the insurance)

Person or Company Suspected of Fraud or Abuse

Description of Suspected Fraud or Abuse