Close

Need some help?

Every SCAN employee is trained to understand the needs of people with Medicare, to help you make an informed decision about your Medicare needs.
CALL US TOLL-FREE
877-810-7226
FROM 8AM TO 8PM (PT), MONDAY - FRIDAY. TTY USERS CALL 711
No, Thank You

Special Investigations Referral Form

To submit a report directly to the SCAN Special Investigations Unit, fill this form out completely. If you wish to report anonymously, you do not have to provide your name or identification number (we do ask that you indicate if you are a member, employee or provider). Please provide as many details as possible. When you’ve completed the form, hit the submit button. We suggest you print a copy for your records, too.

Referral Source Information
Members, Providers, and Others Involved
Allegation Issue Details