Form F262-289-000 Provider Fraud Complaint - Washington

What Is Form F262-289-000?

This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F262-289-000?
A: Form F262-289-000 is a Provider Fraud Complaint form in Washington.

Q: Who can file a Provider Fraud Complaint using this form?
A: Any individual or organization who suspects provider fraud in Washington can file a complaint using this form.

Q: What should I include in my Provider Fraud Complaint?
A: You should provide detailed information about the suspected fraud, including the name of the provider, dates of service, and any supporting documentation.

Q: Can I file a Provider Fraud Complaint anonymously?
A: Yes, you have the option to file a complaint anonymously by not providing your personal information on the form.

Q: What happens after I submit my Provider Fraud Complaint?
A: The Washington State Department of Health will review the complaint and initiate an investigation if necessary.

Q: Is there a deadline for filing a Provider Fraud Complaint?
A: There is no specific deadline mentioned for filing a Provider Fraud Complaint, but it is recommended to submit it as soon as possible after discovering the suspected fraud.

Q: What penalties can a provider face if found guilty of fraud?
A: If a provider is found guilty of fraud, they may face fines, license revocation, exclusion from participating in healthcare programs, and potential criminal charges.

Q: Can I get updates on the status of my complaint?
A: Yes, you can contact the Washington State Department of Health, Office of Investigative Services to inquire about the status of your complaint.