Qui tam intake that captures whistleblower evidence up front
The intake confirms whether the billing involves Medicare, Medicaid, TRICARE, or VA, captures the caller's supporting evidence and ability to name the provider, and flags whether they're a whistleblower or the target of an investigation before it reaches your CRM.
The exact intake your false claims act and qui tam defense leads complete
This is the real 7-question guided intake for False Claims Act and Qui Tam Defense — the same flow your customers finish before you ever pick up the phone.
What a qualified false claims act and qui tam defense lead should tell you
Intake for potential whistleblower (qui tam) tips or defense matters involving alleged false billing to a government healthcare program such as Medicare, Medicaid, TRICARE, or VA, screened for evidence, identifiable parties, and timing before counsel gets involved.
- Situation About Healthcare Provider,
- Have Specific Information (From
- Identify Company Or People
- Suspected False Billing Happen
- Already Reported This Government
- Willing Share What Know
- Contacting Us Because Or
The questions your team needs answered
Every false claims act and qui tam defense intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Is your situation about a healthcare provider, clinic, hospital, pharmacy, lab, or medical supplier billing a U.S. government program (like Medicare, Medicaid, TRICARE, or VA)? | Confirms the matter actually falls under the False Claims Act rather than private insurance billing, which is a threshold jurisdiction question. |
| Do you have specific information (from your work, records, or direct experience) suggesting the bills or claims were false or improper? | Direct evidence from records or first-hand work experience is what separates a viable qui tam claim from unsubstantiated suspicion. |
| Can you identify the company or people involved (for example, the provider name and location)? | A relator complaint has to name a defendant, so the ability to identify the provider or people involved is close to a filing requirement. |
| Did the suspected false billing happen within the last 6 years? | FCA claims are generally subject to a six-year limitations period, so timing directly affects whether the matter is still viable. |
| Have you already reported this to the government or filed a lawsuit about it? | A prior report or filing raises first-to-file concerns and changes what role your firm can actually play in the case. |
| Are you willing to share what you know with a lawyer and, if needed, cooperate with an investigation? | Qui tam cases often require sustained cooperation with a government investigation, so unwillingness here signals a poor fit regardless of the underlying facts. |
| Are you contacting us because you or your organization is being investigated or accused of false billing to a government healthcare program? | This single answer determines whether the caller needs a whistleblower relator engagement or a defense representation, which are conflicting roles for the same firm. |
How Cliont scores false claims act and qui tam defense leads
Every answer is weighted automatically — no manual review required.
Value signals
- Situation About Healthcare Provider,: yes
- Have Specific Information (From: yes
- Identify Company Or People: yes
- Suspected False Billing Happen: yes
- Willing Share What Know: yes
- Contacting Us Because Or: yes
Lower-fit signals
- Already Reported This Government: no
See the lead your team receives
Qui Tam Lead - Medicare Billing
From first click to qualified lead
Follow people and businesses seeking counsel through one smooth, guided flow.
They land & meet you
Your video greeting plays instantly — a real face instead of a blank form.
They explain the matter
Smart questions adapt to their matter and capture the full scope.
They share the documents
The facts, dates, and any paperwork come attached, so you can assess the matter before the consultation.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for false claims act and qui tam defense workflows
| Cliont capability | False Claims Act And Qui Tam Defense application |
|---|---|
| Conditional question branching | Routes the intake differently depending on whether the caller identifies as a whistleblower or as the subject of an investigation. |
| Weighted lead scoring | Prioritizes leads that combine direct evidence, an identifiable defendant, and conduct within the six-year window over vague or stale tips. |
| Confidential intake handling | Keeps sensitive whistleblower details out of general inboxes until a lead clears your screening criteria. |
| Document upload capture | Lets a caller attach billing records or correspondence before the consultation, so you're not starting from a blank file. |
Common false claims act and qui tam defense lead scenarios
Insider with billing records
A former employee has direct knowledge, can name the clinic and administrator, and the alleged conduct is within the last six years — the highest-value combination the catalog scores for.
Vague tip, no specifics
A caller suspects wrongdoing but can't point to actual records or identify who was involved, scoring lower so it doesn't consume consultation time on speculation.
Provider facing an investigation
The caller is the target of a government inquiry rather than a relator, a distinct answer path that routes the lead as a defense matter instead of a whistleblower referral.
Already filed or reported
A relator who already reported to the government or filed suit pro se scores lower on that signal, since first-to-file and prior-disclosure issues change what representation looks like.
Connect Cliont to your workflow
Send leads
HubSpot, HighLevel, Salesforce, JobNimbus
Book matters
Google Calendar, Outlook Calendar, Calendly
Notify your team
Email, SMS, Slack
Automate follow-up
Zapier, Webhooks, API
Simple, transparent pricing
Choose the plan that works for your business.
Professional
Unlimited intake forms and leads for your growing business.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Advanced analytics dashboard
Pay Per Lead
Only pay when you receive a qualified lead.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Charged only for submitted leads
More healthcare law intake templates
False Claims Act and Qui Tam Defense lead-intake FAQs
Does the intake separate whistleblower tips from defense-side inquiries?
Yes — one question asks directly whether the caller is reporting suspected fraud or is themselves being investigated or accused, so relator leads and defense leads route differently.
What if the caller can't name the provider or company involved?
That answer lowers the score rather than disqualifying the lead outright, since some callers have real knowledge but are hesitant to name names until they speak with counsel.
Does the intake account for the statute of limitations?
It asks whether the suspected false billing happened within the last six years, which the catalog weights heavily since FCA claims are time-sensitive.
What happens if someone already reported this to the government?
That's flagged as a lower-fit signal, since a prior filing or report can affect first-to-file status and whether your firm can still take the matter.
Can this intake be used for both plaintiff and defense-side matters?
Yes — the same catalog includes a question distinguishing whistleblowers from accused providers, so both intake paths run through one subservice form.
Why does the intake ask about willingness to cooperate with an investigation?
Relators who won't cooperate with a formal investigation are far less useful as qui tam clients, so that answer carries meaningful weight in the score.
Turn false claims act and qui tam defense visitors into qualified cases
Give every false claims act and qui tam defense visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book a consultation.