July 1, 2026
The reporting and investigation of compliance, privacy, or fraud incidents play a key part in creating a culture of honest and ethical behavior and conduct.
Management of compliance, privacy, or fraud issues is an essential tool to improve our services. It also enables the organization to take appropriate actions to mitigate risks from happening again.
You can help to prevent fraud by asking for picture identification in addition to checking their member ID card or number. This will prevent non-members from using stolen or lost member insurance ID cards.
Anyone who becomes aware of a compliance, privacy, or fraud incident, whether it has occurred or is about to occur, should report it.
To report a compliance, privacy, or fraud incident:
- Call the anonymous Hotline at 1-866-477-4848
- To report actual or suspected non-compliance, contact Compliance by emailing: Compliance@jeffersonhealthplans.com
- To report actual or suspected privacy or security concerns, contact the Privacy Office by emailing: PrivacyOfficial@jeffersonhealthplans.com
- To report actual or suspected fraud, waste and abuse (FWA) concerns, contact the Special Investigations Unit (SIU) by emailing: SIUtips@jeffersonhealthplans.com
Complete and submit allegations related to Compliance, Privacy or FWA anonymously online atjeffersonhealthplans.ethicspoint.com.