My car was in an accident and the insurance company paid me a check. I do not want to get my car fixed, instead I want to keep the money and drive around with the car still damaged. Do I have to get it fixed. Or can I just get some of the things fixed and not everything. I do need the money, but don’t want to break the law. Please help. Thanks!

the person vandalized their house, and made their furniture and expensive things disappear, and claimed them to be stolen. which he actually gave to his loved ones. this happened 2 yrs ago, and im wondering what i should do. this may seem selfish, but i was told if you report it and it leads to an arrest that persons insurance company will pay you for your testimony? can someone please help me…facts please…and possible links, to the place where you got the facts if possible.

My son was in a car accident. Thank heavens he was fine. However, he has a nice classic car that he and his father were trying to fix up. The other kids insurance company gave us a check to get the car fixed but when we took it to get fixed we found some frame damage. Because of this he is considering parking the classic car – working on fixing it as he gets the money and taking the insurance money to get a new – used daily driver. My husband is concerned that this may be considered insurance fraud. I’m not sure. Any help would be appreciated.
our concern about going back to them is that they may total the car, then we’ll have an R title and we don’t want that…

hi
please suggest
i recently made a international trip and had to prepond my trip because of some
medical problems…. before leaving back, i had to see a doctor (whose is actually a specialist,different than what my problem was)…….
now when i submitted the doctor forms to the insurance company, they are saying, how can i get treated to a doctor who is not even specialized in the problem i had..
what does it mean…
does it considered as a fraud or will they simply reject my claim,..
am honest here and had all proofs..
please suggest..

I thought that classic cars are usually garaged. See question at http://answers.yahoo.com/question/index;_ylt=Ao9L6_uBj7V3DRnKoq9ifmLH5HNG;_ylv=3?qid=20100220190005AAiYOcH and answer this question: If you were the insurance company, would you believe that person?

if someone was to tell the police and insurance company that their car had been stolen but they did it themselves and then got found out, what would happen? only uk answers pleases.

Lets say you reported insurance fraud to an insurance company, such as Medicare, and they choose to ignore it or not take your claim seriously, even with hard evidence, where can you report them? Or where else can you take your claim?

Also, as a side note, where can you report a doctors office, or a doctor, for misuing his authority to prescribe drugs? And even after talking with him, he doesn’t stop, or doesn’t take your reports seriously?

I used to work for a billing company and if they got a superbill with aprimary diagnosis that they knew an insurance company would not pay for, ie. mental problems, hair loss, obesity, but the doctor put other problems, say hypertension, they would list the medical diagnosis and omit the non covered ones. I think this is insurance fraud. If so, how could an audit be done anonymously? I would love to close them down. You can tell I have a beef with this company.

My wife’s HMO just sent us a summary statement of medical care bills and payments for all of 2008.

You tell me — doesn’t this amount to grand fraud?

1. total charges [excluding double billing caused by HMO delaying for months] 33,343.80

2. Allowed by contract [also includes 437.37 that hasn't yet been been ruled as allowed or denied] 8312.78

In other words, the amounts "billed" by the hospitals, lab operations, physicians, clinics, radiologists, etc. were FOUR times the amounts they’d actually agreed to accept as full payment from the HMO.

Now, if you didn’t have an insurance company bargaining for you, the hospitals, et al, would be trying to collect FOUR times as much from you as they really expect to get, and really "should" get.

FOUR FREAKING TIMES AS MUCH !!

***
Aside: for everyone who asks in these forums about paying their medical bills — the bill is a fraud. Provider never expected to get anywhere near that much. Don’t pay it. Offer them far less — it’s all they every expected to get anyway.

[The public hospital was the worst -- billing at FIVE times the amount they'd agreed to accept. By comparison, the regular doctor was only billing 1.6 times the allowed amount. Specialists were billing from two to four times the amounts they'd agreed to.]

***
Now, if your banker was billing you for FOUR TIMES as much interest as he actually expected to collect, you’d call it fraud, wouldn’t you?

And isn’t it just as much a fraud when the public hospital district bills at FIVE TIMES what it expects to get — and then sues the poorest people [who don't have insurance] for the WHOLE FREAKING AMOUNT?

Ye Gods above — no wonder unexpected medical expense is the leading cause of bankruptcy in America. Most of the bills are frauds from moment one.

My current girlfriend had an ex-boyfriend who tried to get insurance on her car about a year and a half ago. She let it go, because she didn’t want to deal with it. Now she is planning on using it as evidence against his character in a current court case because he will not leave her alone. While she went to her insurance company to get a record of this, she found out that he had called another time in 2003 trying to get put on her insurance before. He had called stating that he was her ex-husband. He had also had another woman call stating to be her. Both times he had to use her social security number to get quotes and access her account. At the time and currently my girlfriend has had an EPO on him. Is this fraud and what kind of fraud would this be considered? What should she do, besides contact a lawyer as many of you will suggest? Also, now she is unable to do anything with her insurance company (make changes to policy) without being at the company. Could she sue for damages?

hi
if you are suspected of a travel insurance fraud claim
what will be the first step they will take
will i get arrested immediately
how to defend it..
will the insurance company calls and lets you know or they just dont refund the claimed amount
kindly advise

He has claimed to the insurance company that his van was stolen by someone who was test driving it in order to buy it. Then he told me that he it had not been stolen but he had disposed of the van and told the insurance company and the police it had been stolen. What do I do?

My husband and I are seperated. He has a car registered and insured in his name only with GEICO. My name was on the insurance policy as a second driver. I know he is not good at paying his bills and I think he will let the insurance lasp. I tried to have my name taken off the policy but they refused. Even though we are living apart we have not started the legal seperation yet. I am worried this may affect my licence or if I try to get insurance or registration of my own. Is this legal for an insurance company to do?

My sister crashed her car and filed a claim with her insurance company to fix it. She ended up needing the cash and did not fix the vehicle. Now, she is in a pretty bad financial situation and her car got repossed. Will she get in trouble for not fixing her car?

I recently attended a consultation with my two sisters and mother with my Mom’s oncology team: seems there is a gene that she carries that could be hereditary, which would elevate our risk of cancer. Anyway, Four of us were present for this "consult"… no clinical work of any kind.
A couple weeks later I received a notice from my insurance company. The Oncology practice billed all three of our insurance companies, and medicare (mom) for a total of 24.00, for a "consultation" which lasted barely 45 minutes. I feel this is an outright abuse of the system. To what entity can I report this?

I’m a 17 year old male living in Canada, and I just bought a car. Would it be insurance fraud to insure that car in my moms name, with her as the main driver and me as a casual driver, while she insures her own car with a seperate insurance company, not telling either company she technically owns 2 vehicles?

Becuase she just wouldn’t drive my car, and my car would be under her name but I would be listed as a casual driver and have much lower rates. If she insured her own car with another company and told them she only owns one car, I could have much lower insurance rates because I would be listed as a casual driver when really I’m the main driver.

Is that insurance fraud? Is it legal? I’ve heard of people doing that…

A friend’s car was repossessed during an insurance investigation, he was unable to go to work because the insurance company didn’t finish the investigation in ample enough time. The insurance company was going to give him 00 to get the car fixed before the investigation. Now the insurance company is saying that they are going to pay him for pain & suffering and the damages to the car. Are they going to buy him a new car being as though there was no fraud?

Much to my surprise, yesterday I received a letter in the mail from an insurance company, claiming I was in an accident on July 15th, 2009. I was on vacation with my sister at the time, and no such thing happened. The letter did not list my vehicle, the other person’s vehicle, or the time and location of the accident. It claimed that I needed to contact them immediately, and that they had been trying to contact me for weeks. I called my insurance company immediately, and told them I suspected fraud. Should I contact a lawyer? Does anyone know anything about insurance fraud? Is this something my insurance company will be able to take care of, or is this a pretty big deal? The letter claimed that the other party was injured, and I’m especially freaked out because I certainly am not responsible.

My "con artist" ex-wife, deceived me from the very first day we started corresponding as to her intentions (I wanted a wife……..while she wanted to swindle me).

Since she already knew BEFORE she even inititated ANY correspondence with me that she was not legally entitled to come to the U.S.A. under any kind of Visa, (Moral Turpitude …….. Child Abuse/Neglect) that she might as well find a "mark" to steal from. With this kind of deception in her mind she used a marriage to me to assist her in her efforts to STEAL ME BLIND!!

But does this "bogus marriage" (on her part), also constitute Insurance Fraud under my Health Insurance Policy?? I mean it is supposed to be for my wife and children, but if the authorities declare her actions to be "Marriage Fraud" doesn’t that mean that the insurance benefits she received were also obtained under "FALSE PRETENSES"………..and therefore criminal "Insurance Fraud"?
I mean she obtained insurance benefits through HER acts of DECEPTION and victimized not only me (thousands of dollars), but also my insurance company (also into the thousands of dollars)?

A. Because the doctor is in effect misstating the true fee, resulting on overpayment
B. Because patients are legally obligated to pay the copayment
C. Because it shows up as a false tax deduction on the doctor’s income tax return or
D. Because it defrauds the patient who has the contract with the insurance company

I’m asking this for a friend.

Her husband was driving her car (he was the only one in the vehicle). He rear-ended another vehicle and was ultimately cited for Failure To Control. The damage for the vehicle is about 00 – almost the value of the car.

Now here’s the interesting part. He was not listed as a driver for the vehicle. Yes, he has a drivers license. Yes, he has insurance for his other vehicle, so he really wasn’t driving without insurance at all. But he and his wife were not married at the time that she bought and insured her vehicle, and they overlooked adding his name to the policy after they were married.

Now their insurance company just sent them a letter. That they’re trying to deny the claim based on the fact that the couple is trying to defraud the insurance company!!! Because her husbands name wasn’t listed on the policy. The letter was very nasty and says that the insurancy company may sue them for fraud.

They can’t afford a lawyer. They need the vehicle because the husbands vehicle is not running properly. They barely have any money. And she will lose her job if she’s charged with this.

Can the insurance company truly do this over a misunderstanding like the above? Does anyone have any advice?

The guy has been divorced for 3 years and keeping his ex-wife on his plan stating that they are married and she is his wife to get all of her medical expenses covered and they have amounted to a huge amount. Where would a person report this fraud and what would happen to the ex-husband and the ex-wife? Who would have to pay back the insurance company the monies paid out to the cover her bills?

I was given a script for physical therapy by my orthoped. MD and told to go anywhere I wished for my PT. I chose a place and called my insurance company to make sure that this practice was in the network, which I was told it was. THere are 2 Physical therapist that work in this practice. I saw one or the other for 2 1/2 months.
I just recieved my explanation of benefits from my insurance company for the visits. One physical therapist was billed as out of network and the other was always billed as in network. My question is, how can this be legal for a Physical Therapy practice to bill this way? Isn’t this some sort of fraud? Thanks for any advice. I live in PA if that makes any difference.

someone i know received a LARGE payout from an insurance company for "permanent injuries" in an accident. It has been settled, and now he does everything, heavy lifting, recreational sports, etc. Since it is settled, as of march of this year, should i not be so upset that it looks like insurance fraud. i pay so much insurance costs that people like this just infuriate me. i was told by others who have the same opinion of him, that once it’s settled the insurance company can’t do anything. True? thanks for any help/opinions on this matter.

Went to a Dr, paid co-pay, had to leave before seeing Dr or her asst. Nothing (other that a receipt for co-pay) was done. Let front desk person know what was going on & wasn’t sure if I would make it back in time, but clearly stated to make sure I (my insurance company) was not billed for a Doctor visit.Just got insurance statement and she billed me for visit (over 0.00), plus I never got a refund of my co-pay!! So, back to original question. Isn’t there a reward (coming to me) once She is proven and found guilty??