Insurance 101 – Chapter 15 – Volume 18 – Fraud in Other Professions

Fraud in Other Professions

A doctor convicted of insurance fraud was sentenced to ten years in jail in Pennsylvania. The issue of his license was not considered by the court. The conviction was based upon the facts, proven at trial, that the doctor billed insurance carriers for medical services never performed, gave prescriptions and dispensed drugs to persons who did not  medically need them, gave prescriptions to persons for individuals that the doctor never examined, solicited sex as payment for drugs and medical treatments, and solicited a person to fill narcotics prescriptions written by the doctor, sell the narcotics on the street and share the profits with the appellant.

The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is available at the Zalma Insurance Claims Library

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