Help us stop waste, fraud, and abuse What can a Service Coordinator do for you? Your local Service Coordinator helps you find the right services and support. They will look at your needs to see how they can help. Your Service Coordinator can help with doctor visits, behavioral health-care visits, home care, and more. They can also tell you about other programs, like health care or community services, that may be useful. Your Service Coordinator will help make a plan just for you and make sure you get the services you need. If your situation changes, they will check on you and make changes to your plan, if needed. Do not hesitate to reach out to them when you need help. To reach an El Paso Health Service Coordinator, you may call 1-833-742-3127. At El Paso Health, we work hard to stop waste, fraud, and abuse. These problems make health care more expensive and unfair for everyone. Our Special Investigations Unit (SIU) is here to protect our members and keep health care honest. Our SIU team includes: Here’s how it works: 1Review. The team checks medical records and bills to look for mistakes. 2Investigate. If something seems wrong, they look deeper to find the issue. 3Take action. If they find waste, fraud, or abuse, they fix the problem and work to stop it from happening again. If you see examples of waste, fraud, or abuse in health care, you can help! Call the El Paso Health Fraud Hotline at 1-866-356-8395. You don’t have to give your name, and your report will stay private. ■Alina Macias, SIU Claims Auditor ■Jennifer Herrera, SIU Assistant ■Ismael Gamez, Nurse Auditor The SIU team makes sure that doctors and health-care providers bill correctly and follow the rules. 2 resources
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