Reporting Fraud Sample Clauses
The Reporting Fraud clause requires parties to promptly notify relevant authorities or designated individuals if they become aware of any fraudulent activity related to the agreement. Typically, this clause outlines the procedures for reporting suspected fraud, such as specifying the contact person, the method of communication, and the timeframe for making the report. Its core function is to ensure that potential fraud is identified and addressed quickly, thereby minimizing harm and maintaining the integrity of the contractual relationship.
POPULAR SAMPLE Copied 1 times
Reporting Fraud. 12 Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and shall 13 notify North Sound BH-ASO Compliance Department of all incidents or occasions of 14 suspected fraud, waste, or abuse involving Services provided to an individual. Provider 15 shall report a suspected incident of fraud, waste or abuse, including a credible allegation 16 of fraud, within five (5) business days of the date Provider first becomes aware of, or is on 17 notice of, such activity. The obligation to report suspected fraud, waste, or abuse shall 18 apply if the suspected conduct was perpetrated by Provider, Provider’s employee, agent, 19 subcontractor, or individual. Provider shall establish P&P’s for identifying, investigating, 20 and taking appropriate corrective action against suspected fraud, waste, or abuse. 21 Detailed information provided to employees and subcontractors regarding fraud and 22 abuse P&P’s and the false Claims Act and the Washington false claims statutes RCW 23 Chapter 74.66 and 74.09.210. Upon request by North Sound BH-ASO, and/or HCA, 24 Provider shall confer with the appropriate State agency prior to or during any investigation 25 into suspected fraud, waste, or abuse.
Reporting Fraud. 14 Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and 15 shall notify North Sound BH-ASO Compliance Department of all incidents or 16 occasions of suspected fraud, waste, or abuse involving Services provided to an 17 individual. Provider shall report a suspected incident of fraud, waste or abuse, 18 including a credible allegation of fraud, within five (5) business days of the date 19 Provider first becomes aware of, or is on notice of, such activity. The obligation to 20 report suspected fraud, waste, or abuse shall apply if the suspected conduct was 21 perpetrated by Provider, Provider’s employee, agent, subcontractor, or individual.
Reporting Fraud. Anyone may report concerns about possible fraud to any of the following:
Reporting Fraud. Misconduct
Reporting Fraud. 6 Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and shall 8 suspected fraud, waste, or abuse involving Services provided to an individual. Provider 9 shall report a suspected incident of fraud, waste, or abuse, including a credible allegation 10 of fraud, within five (5) business days of the date Provider first becomes aware of, or is on 11 notice of, such activity. The obligation to report suspected fraud, waste, or abuse shall 12 apply if the suspected conduct was perpetrated by Provider, Provider’s employee, agent, 13 subcontractor, or individual. Provider shall establish P&P’s for identifying, investigating 14 and taking appropriate corrective action against suspected fraud, waste, or abuse. 15 Detailed information provided to employees and subcontractors regarding fraud and 16 abuse P&P’s and the false Claims Act and the Washington false claims statutes RCW 17 Chapter 74.66 and 74.09.210. Upon request by North Sound BH-ASO and/or HCA, Provider 18 shall confer with the appropriate State agency prior to or during any investigation into 19 suspected fraud, waste, or abuse.
Reporting Fraud. Fraud is an intentional wrongful act committed with the purpose of deceiving or causing harm to another party. Upon discovery of circumstances suggesting a reasonable possibility that a fraudulent transaction has occurred, the CSB’s executive director shall report this information immediately to any applicable local law enforcement authorities and the Department’s Internal Audit Director. All CSB financial transactions that are the result of fraud or mismanagement shall become the sole liability of the CSB, and the CSB shall refund any state or federal funds disbursed by the Department to it that were involved in those financial transactions. The CSB shall ensure that new CSB board members receive training on their fiduciary responsibilities under applicable provisions of the Code and this contract and that all board members receive annual refresher training on their fiduciary responsibilities.
Reporting Fraud. That any detected or suspected fraudulent activity committed against the Department, using Department resources, or affecting Department services must be reported to the Department immediately in one of the following ways:
a. Using SUNTAX Individuals with access to SUNTAX will report tax violations using the Create Lead Referral action item within SUNTAX.
Reporting Fraud. Anyone may report concerns about possible fraud to any of the following: 1-877-WFINFO-1 (Colorado Department of Human Services Hotline) Ethics Point ▇-▇▇▇-▇▇▇-▇▇▇▇ or ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ (▇▇▇▇▇▇▇ County Fraud Hotline) Department of Human Services Investigator (refer to the Investigation Policy/Procedure) Any other reasonable contact such as law enforcement, or County Administration or County Human Resources Date of Referral: Current Program (i.e. TANF, FA, ▇▇▇▇▇▇ Care, etc.): Participant Name: Phone#: Participant age: Social Security Card? Forms of ID? Registered in Connecting Colorado: Workforce Specialist:
Reporting Fraud. Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and shall notify GRBH-ASO and the applicable MCO’s Compliance Department of all incidents or occasions of suspected fraud, waste or abuse involving Services provided to a client. Provider shall report a suspected incident of fraud, waste or abuse, including a credible allegation of fraud, within five (5) business days of the date Provider first becomes aware of, or is on notice of, such activity. The obligation to report suspected fraud, waste or abuse shall apply if the suspected conduct was perpetrated by Provider, Provider’s employee, agent, or subcontractor, or client. Provider shall establish policies and procedures for identifying, investigating, and taking appropriate corrective action against suspected fraud, waste or abuse. Upon request by GRBH-ASO, MCO or HCA, Provider shall confer with the appropriate State agency prior to or during any investigation into suspected Fraud, waste or abuse. For purposes of this section, the terms fraud and abuse shall have the same meaning as provided for in 42 CFR §455.2.
Reporting Fraud. If You suspect that a person or group is engaging in health insurance fraud, please contact Our investigations team on 02 8346 2207 or email ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇.