Priority Health compliance policy
Fraud, waste and abuse (FWA)
We're committed to the detection, prevention, investigation and correction of potential health care fraud, waste and abuse. The mission of our program is to ensure that we're proactively protecting our members, providers, government programs, business partners and stakeholders as well as protecting the compliance and financial interests.
Laws related to fraud, waste and abuse
We require all parties that work with us to comply with all laws and regulations. This policy ensures that providers, contractors and vendors are aware of applicable federal and state laws designed to prevent and detect fraud, waste and abuse. In addition, this policy provides information about whistleblower protections. For more information on FWA laws, how to report your concerns and other requirements, please review the information below:
- Code of Excellence
Provides information about our commitment to ethics and integrity.
Learn more about FWA policies, how to report concerns and when to notify Priority Health.
- Authorizations
- Billing & payment
- Procedures & services
- Reviews & appeals
- Drugs
- Medical policies
- Provider forms
- Seeing Cigna members
- Requirements & responsibilities
- Clinical resources
- News
- Fraud, waste & abuse policy
- Join our networks
- Check patient eligibility
- Data exchange
- Set up electronic claims
- Set up electronic funds transfer (EFT)
- Check claim status