Health Care Provider Fraud

Report health care provider fraud in Washington State

Call: 1-888-811-5974 (option #4)

Health care provider complaint form.

Do you know of a medical provider who may be inappropriately billing workers compensation?

Spotting the red flags

Below are some behaviors that can indicate fraudulent activity by a health care provider:

Providers who….

  • Bill for services that did not occur.
  • Bill for non-covered services as a covered service.
  • Bill for more expensive services or procedures than were actually provided or performed.
  • Misrepresent dates of services.
  • Misrepresent location of services.
  • Misrepresent who actually provided the services.

Need help determining when to report?

Contact the provider fraud detection staff at 1-888-811-5974 (option #4) or providerfraud@Lni.wa.gov

Other health care provider concerns:

Report Interpreter concerns: InterpreterQuality@Lni.wa.gov

Report Independent Medical Examiners (IME): Complain about an Independent Medical Examination (IME): Email IMEComplaints@Lni.wa.gov.

Report Quality of Care concerns: ProviderComplaint@Lni.wa.gov