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Phyllis L | Is this insuarance fraud? |
A friend of mine cashed a check from his insurance company that was supposed to be used to pay the anesthesiology bill for surgery. The check was made out to him and him alone. His disability insurance was running out and he needed to pay his bills. He called up the anesthesiology people to make payment arrangements and they sent him to a bill collector. The bill collector contacted him and told him that he committed insurance fraud and that if he doesn't pay the whole bill in one month he is going to jail. Are they just trying to scare him or is that the truth? |
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njunprincess
|
If the check was made directly to him, he did not commit fraud. It had no other purpose than to go to him. What he did from there was his own doing. They can't come and twist his arm to sign over the check or steal his kids to get the check. They also cannot "put him in jail" for cashing his own check. If it was for them specifically, the company who issued the check should have made it payable to them and mailed it to them. Sorry about their luck...they just gonna have to wait. |
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?
 |
Strange.
Normally insurance companies fill out and send the check to the person it is to go to. My Docs always send me a notice when they have received a check from my insurance to pay my bill.
I have seen where Insurance companies will send a check to you to do what you see fit. I have been in trouble a time or two with bill collectors and they have told me that the police would come and throw me in jail for missing a payment. They lie a lot. Goto http://www.lawguru.com/ Here you can ask a lawyer for free what they think about the matter. |
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:)
|
I would not call this fraud because the check was made out to your friend and he cashed it - nothing illegal about that. However, your friend did incur a bill with the physician's office and probably signed a form indicating that if the insurance company doesn't pay them (which they haven't, they paid your friend) then your friend owes the money. So, this is a debt and the anesthesiologist has the right to pursue this debt through the legal system if needed. |
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daorangejello
 |
If what you say is the truth, you need to read the Federal fair debt act. The link is below.
I am in no way an attorney. This is just my opinion.
I would think that fraud would have to be decided in a court house.
I am not condoning what he did, but I have no use for bottom feeding scum that make their living such as these people are doing.
All you big boys correct me if I am wrong , but telling him he is going to jail is a violation of the act |
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Chelsea B
|
I work for an insurance company. It is fraud since the check was intended to pay the anesthesiologist who assisted in his surgery. He made the choice to use the funds for other purposes. He is not only financially responsible for the charges but the billing office can take any legal action they see fit. |
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Brutus
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They were not kidding. He did a stupid thing. |
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Jessica
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Maybe, he needs to ask his ins co. |
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Mopar Muscle Gal
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it sounds like fraud since the person knew that the check was NOT intended for him |
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bill w GO FLAMES GO 【ツ】
 |
Well, it is fraud. I'm sure someone is willing to lend a sympathetic ear if he explains himself, though, given the circumstances. |
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The Y!ABut
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If that was the intended purpose of the disbursement, then, yes. It is the truth. |
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