Tag: health insurance fraud

Insurance fraud lawsuit filed by Allstate against providers

Julie Campbell
Disability Insurance Fraud

The massive insurer has sued five medical professional companies and six physicians in the U.S. Allstate has just filed an insurance fraud lawsuit worth $3.8 million in order to recover the funds from five medical professional corporations and six physicians. This is the third lawsuit of this nature that the insurer has filed within this year alone. Overall, there have been 47 insurance fraud lawsuits filed by Allstate in the state of New York since 2003. In total, the insurer has sought over $235 million in damages throughout those years.…

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Health insurance refund checks circulating throughout California

Logan B.
California Health Insurance checks

Fake checks being issued to health insurance consumers Reimbursement checks from the California Department of Insurance have been circulating throughout the state. Many of these checks are in regards to health insurance, offering consumers refunds for their coverage or to help cover the cost of their health insurance policies. The checks have come as a surprise to many consumers throughout the state, also raising suspicion as the Department of Insurance had not informed consumers that they would be receiving these checks in any way. Insurance Commissioner Dave Jones has announced…

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Auto insurance fraud under attack in California following $1.3 million grant

Julie Campbell
California Auto Insurance

A Contra Costa district attorney has directed the funds toward an aggressive effort. According to the district attorney in Conta Costra, California, officials will now be establishing an investigation into workers’ compensation, disability, health care, and auto insurance fraud, with the assistance of a state grant worth $1.3 million. The announcement explained that these funds will help in both investigations and prosecutions. The Contra Costa County District Attorney’s Office, and the California Department of Insurance made the announcement through District Attorney Mark Peterson, saying that the grand money would be…

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IBM supercomputer to recommend action on thousands of insurance claims for WellPoint Inc

H. Cutner

IBM’s famed supercomputer, Watson, is taking on a new challenge, the results of which may have a sweeping impact on the nation’s insurance industry. The supercomputer has successfully overcome several challenges in the past, including a “Jeopardy!” competition in which the computer won a decisive victory against some of the brightest minds in trivia knowledge. Watson has shown that its computing power surpasses the capabilities of a human mind and, because it is a machine, is not prone to typical human error. For this reason, the computer is now being…

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Prosecutions for healthcare fraud increase by 85 percent since 2010

Recently released federal statistics have shown that national healthcare fraud prosecutions have increased by 85 percent since the end of 2010, partially as a result to stepped-up efforts to enforce fraud laws under the Obama administration. The Transactional Records Access Clearinghouse (TRAC), a non-partisan group, released the statistics which show that there have been 903 prosecutions in 2011 so far. That number is 24 percent higher than the total for all of 2010, when there were 731 healthcare fraud prosecutions through various federal agencies nationwide. Furthermore, TRAC statistics have shown…

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