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Fraud and Abuse Hotline: 1-888-589-3310

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Internal Information Forms

Use the MS Word version to fill in the form on your PC. Save the document for your records and email to Ruth Icenogle at ruth.icenogle@valueoptions.com. You may also print the document, fill it out and mail it to Colorado Health Networks at:

7150 Campus Drive
Colorado Springs, CO 80920
or fax to:
(719) 538-1433