Virginia Premier Health Plan, Inc.

Program Integrity

The Program Integrity Department was established to support the Virginia Premier Health Plan, Inc. (VPHP) commitment to the highest standards of conduct, honesty, integrity and reliability in our business practices. Program Integrity is all about “doing the right thing” for the right reasons. The department is designed to assist the organization to uphold our continued commitment in making proper and ethical decisions. Program Integrity applies to officers, directors, employees and affiliated individuals. It consists of the following: policies and procedures, standards of professional conduct, education and training, monitoring and auditing, enforcement and discipline, response and prevention.

If you have questions or concerns or wish to report potential or suspected fraud, waste and abuse.

Call the Program Integrity Helpline at 1-800-620-1438 or go online to https://www.compliancehelpline.com/welcomePageVCUHS.jsp
24 Hours a Day, 7 Days a Week. The call is confidential and you may remain anonymous.

Should you have other compliance or HIPAA related questions, please contact the Program Integrity Department at (800) 727-7536.