The Suspicious Activity Form allows our members or policyholders, and treatment providers to confidentially report potential fraud or other dishonest activities. Please note that while the form is confidential, it may not be anonymous.

If you prefer to report anonymously, or if you are not a member or provider but still wish to report a concern, please click here  for other available reporting options.

For concerns related to scams, please visit this page.


Your details

Providing your contact information is optional but recommended. It allows Southern Cross to request additional details if needed and provide you with general investigation updates. If you have provided your contact details and in the event that disclosure of your identity becomes necessary (e.g. as required by law), we will contact you beforehand.



Concern



Consent & Acknowledgment

  • I consent to the collection and use of the information provided in this form for the purpose of assessing or investigating the reported misconduct.
  • I declare that the information provided in this report is true and accurate to the best of my knowledge and that I have made this report in good faith. I understand that knowingly or deliberately making false statements may have serious legal consequences and could result in civil or criminal liability.
  • I understand that I have the option to remain anonymous and/or not provide my contact details above. In this case, I acknowledge that Southern Cross will be unable to contact me for further follow-up, which may affect their ability to fully assess or investigate the matter I reported, or to provide general updates on the outcome of the investigation, where appropriate.
  • If I have provided my contacted information above, I consent to being contacted to clarify and/or provide further information (if so, please make sure you have included your contact details).
  • I acknowledge that the information provided will be kept confidential to the extent possible, but may need to be disclosed to relevant parties as part of the assessment or investigation.
  • I understand that while all reports are reviewed and taken seriously, Southern Cross maintains the right to assess each report and determine the appropriate course of action, which may include deciding not to proceed with a formal investigation if, for example, insufficient information is available or if the matter falls outside the Southern Cross’ scope.
 
 

By submitting this form, you acknowledge and agree that personal and health information provided to us (including any supporting documents) will be collected, stored, used and disclosed in accordance with the terms of our Member Privacy Statement.