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Compliance

Our commitment is to provide a secure and confidential platform for reporting concerns, ensuring that anyone can voice their issues without fear of retaliation or exposure.

We encourage all employees, contractors, and stakeholders to use this service when discretion and anonymity are critical. For matters not requiring anonymity, please adhere to standard reporting protocols as outlined in company policies.
 

What to Report

You can report a wide range of concerns, including but not limited to:

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  •    Ethical Violations

  •    Unsafe Workplace Conditions

  •    Harassment or Discrimination

  •    Fraud, Theft, or Embezzlement

  •    Violation of Company Policies

  •    Misuse of Resources or Property

  •    Bribery, Kickbacks, or Conflicts of Interest

  •    Substance Abuse

  •    Quality or Service Issues

  •    Vandalism, Sabotage, or Threats


This service also covers improper behavior, falsification of documents, and violations of local or federal laws. All reports are reviewed and handled according to the company's investigation protocols.


Confidentiality and Anonymity

Rios Health Plan maintains a confidential and anonymous compliance reporting system. You may report any compliance concern anonymously through the Compliance Phone Line, Fax Line, or Email listed. You are not required to provide your name or identifying information. All reports are handled confidentially and without retaliation.


Available Reporting Channels

Our reporting service is accessible 24/7 via multiple methods:

  Phone: English and Spanish: 1-833-775-5733
  Email: compliance@rioshealthplan.org
  Fax: 1-951-254-7076

 

Important Guidelines

  Recorded phone calls may be used for training, service improvements, or investigative purposes in accordance with applicable regulations.

By using this service, you contribute to fostering a transparent, ethical, and safe workplace for everyone. Your voice matters—thank you for helping us uphold our values.

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External Complaint & Grievance Resources


If you are not satisfied with the resolution of your complaint, you may contact the following external agencies:

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