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Welfare Fraud TipLine

Welfare Fraud TipLine 1-800-932-0582

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  • 17,803 complaints received
  • 5,003 Field Investigations
  • $16,348,986 saved
  • October 1, 2013 - September 30, 2014

    Forms, Invoices, Handbooks Frequently Asked Questions
     
    1. How do I obtain forms/invoices?
     
    Response: All Medical Assistance forms may be ordered via the Medical Assistance Forms page on the Department of Public Welfare website.
     
    The CMS-1500 (HCFA-1500) claim form can be purchased from several different vendors, including the U.S. Government Printing Office at 202-512-1800 or the American Medical Association Unified Service Center at 800-621-8335. The form can also be purchased via the CMS Forms website.
     
    The American Dental Association Version 2006 claim form can be purchased by calling the ADA at 800-947-4746 or visiting the ADA Online Catalog.
     
    The UB-04 claim form can be purchased by calling the Standard Register Company. The telephone number can be found in the yellow pages of your telephone directory. The UB-04 can also be purchased online at various websites.
     
    2. Where can I find provider handbooks and billing guides?
     
    Response: Visit PROMISe Provider Handbooks and Billing Guides.