Source of complaint definition
Examples of Source of complaint in a sentence
Contractor shall submit quarterly fraud reports to GCHP which must, at a minimum, include: Number of complaints of fraud and abuse submitted that warranted preliminary investigation; and For each complaint which warranted a preliminary investigations, supply: Name and/or SSN or CIN; Source of complaint; Type of provider (if applicable); Nature of complaint; Approximate dollars involved; and Legal and administrative disposition of the case.
For each complaint which warranted a preliminary investigations, supply: Name and/or SSN or CIN; Source of complaint; Type of provider (if applicable); Nature of complaint; Approximate dollars involved; and Legal and administrative disposition of the case.
The report must include the following for each instance that warrants investigation: • Provider name/ID number (NPI and MCO ID); • Date the case was initiated; • Source of complaint; • Type of provider; • Nature of complaint; • Approximate dollars involved; • Dollars recovered, if any; • Legal and administrative disposition of case; and • Status of the reported case.