As a corporate citizen, our responsibility is to perform business ethically and professionally where Florida Blue operates. We've been committed to promoting a responsible and successful business environment for nearly 70 years. Florida Blue also leverages employees' talents to create an innovative and diverse culture; making us an employer of choice among today's top candidates.
As Florida's oldest health insurer, we made a commitment to conduct business ethically, with integrity and in compliance with the law. Our credo is more than our moral compass. It's our cornerstone for success.
We use the highest standards of integrity as guidelines to achieve our goal of advancing a corporate culture in compliance with laws and regulations. Our Compass Program and Code of Ethical Business Conduct provide compliance guidance to our company constituents.
We protect your privacy rights.
Learn how your medical information may be used and disclosed and how you can access your information.
Code of Ethical Business Conduct - A resource for our constituents to aid in making appropriate decisions at work.
Compliance & Ethics Policy - The guiding principles of our compliance and ethics program.
Make a Report to the Audit and Compliance Committee (ACC) of GuideWell's Board of Directors - Accounting and internal control or other compliance matters that you believe should be reported to the ACC.
FAQs for First Tier and Downstream Related Entities - Explains compliance plans for Medicare Advantage organizations and prescription drug plans.
Office of Inspector General (OIG) and General Services Administration (GSA) Exclusion Lists
As an organization with federal contracts, our Company, along with first tier, downstream and related entities (FDRs), is prohibited from conducting business with anyone who has been debarred, excluded or are otherwise ineligible to participate in federal programs. Therefore, the appropriate federal screening is required.
Entities and individuals should be screened against the Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) and the General Services Administration (GSA) Excluded Parties List System (EPLS) prior to hiring or contracting and monthly thereafter. FDRs may use the links below to access the exclusion databases to meet this requirement. FDRs must also notify our Company immediately if someone is found to have been debarred or excluded. Medicare payment may not be made for items or services furnished or prescribed by an excluded provider or entity.
Medicare Parts C & D Fraud, Waste, and Abuse Training and General Compliance Training - The Centers for Medicare & Medicaid Services (CMS) has developed training that may be used to satisfy fraud, waste, and abuse and general compliance training requirements. To access the CMS Training File:
- Navigate to http://www.cms.gov/Outreach-and-Education/Medicare-learning-Network-MLN/MLNProducts/ProviderCompliance.html
- Go to Fraud and Abuse-related Resources.
- Click on "Fraud and Abuse Educational Products."
- Follow the instructions for accessing the web-based trainings and downloadable PDF versions.