Welcome to the SunFire's Anonymous Fraud Waste or Abuse reporting form.
As a company involved in Part C and/or Part D programs, SunFire is required by law to provide an anonymous method, with the reassurance of no retaliation against the reporter, for reports of Fraud, Waste, and Abuse.
Fraud is knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program or to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program.
Waste includes practices that, directly or indirectly, result in unnecessary costs to the Medicare Program, such as overusing services. Waste is generally not considered to be caused by criminally negligent actions but rather by the misuse of resources.
Abuse includes actions that may, directly or indirectly, result in unnecessary costs to the Medicare Program. Abuse involves paying for items or services when there is no legal entitlement to that payment, and the provider has not knowingly or intentionally misrepresented facts to obtain payment.
Every company bound by CMS is required to have an anonymous method in place in which potential fraud, waste, or abuse may be reported by employees and its partners. SunFire, bound by law, cannot retaliate against you for reporting.
Please reference SunFire's Privacy Policy for further information.