Fraud & Abuse

Mercy Care takes fraud and abuse seriously. Protecting against fraud and abuse is everyone’s responsibility. If you suspect fraud or abuse related to your Mercy Care or Mercy Care Advantage coverage, you can report it in one of the ways listed below:

  • Call our Special Investigations Unit hotline at: 1-800-338-6361
  • Call the Mercy Care Fraud Hotline: 1‑800‑810‑6544
  • Call the AHCCCS Fraud Reporting: 602‑417‑4193 or 1‑888‑487‑6686
  • Use the fraud and abuse reporting form below and submit online. Complete as much of the requested information as you can (* = required fields). Note: Even if you provide your contact information, your identity will be kept confidential.

* Required Fields

Fraud and Abuse Reporting Form

Optional information: You don’t need to give us your name or contact information. But if you do, we’ll keep it confidential. You can also choose to give us just your contact information and not your name.

If you choose not to give your contact information, our review will be only about the information you’re reporting. It’s important that you give us as much information as you can. It will help us do a complete and correct investigation.

You can also contact AHCCCS to report member or provider fraud:

  • To report member fraud: 602-417-4193
  • To report provider fraud: 602-417-4045
  • Toll-free 1-888-ITS-NOT-OK or 1-888-487-6686
  • To report fraud via e-mail, visit the AHCCCS website.

For more information on reporting Medicare related fraud, please visit the official U.S. Government site for Medicare at The reporting fraud and abuse section of the website has helpful information and tips to help you better understand how to prevent, spot and report suspected fraud to 1-800-MEDICARE, (1-800-633-4227); (TTY users can call 1-877-486-2048), 24 hours a day, 7 days a week