Category: Report an Issue

What is a Compliance Issue?

A Compliance Issue is a suspected violation of a law, regulation, policy, or contract requirement governing SCAN Health Plan. Examples of Compliance Issues include:

• Sales allegations
• Alleged Fraud, Waste, and Abuse (FWA)
• SCAN employee misconduct such as violating the plan’s Code of Conduct
• Potential quality of care or related member quality issues
• Provider network deficiencies
• Regulatory audit finding
• Inappropriate use or disclosure of member protected information
• Privacy or security breaches

How to Report a Compliance Issue

To report a compliance issue, you may contact SCAN in one of these ways:

• SCAN Hotline at EthicsPoint: 1-877-863-3362 or visit www.ethicspoint.com
• Contact OIG: 1-800-HHS-TIPS (1-800-447-8477) or visit https://www.scanhealthplan.com/scan-resources/report-an-issue/report-a-compliance-issue
• Contact SCAN’s Compliance Officer: