Brokers for Health Care Providers?

Is there a broker profession that help health care providers and physicians to add their name to health insurannce company’s list of health care providers? Thus enable them to take in patients who have insurannce coverage? Is this legal? Where can I find a list of these brokers in my states? Do I have to […]

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Is there a set dollare amount for Insurance Fraud, before someone can be prosecuted?

My "ex" filed false claims against my health insurance policy, months AFTER she became inelligible to use my insurance. She has filed claims with Physicians and for perscriptions as well. Must the Fraud be of a certain dollar amount before she can be prosecuted?? I need to be more responsible??? Hey guy I turned her […]

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Brokers for Health Care Providers?

Is there a broker profession that help health care providers and physicians to add their name to health insurance company’s list of health care providers? Thus enable them to take in patients who have insurance coverage? Is this legal? Where can I find a list of these brokers in my states? Do I have to […]

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An idea on cutting heath care fraud?

I was reading an article about Mystery Shopper on Wikipedia.org when i came across this: "In June 2008, the The American Medical Association’s Council on Ethical and Judicial Affairs released a recommendation on the use of "secret shopper patients" in the Medical / Healthcare. The Recommendation: "Physicians have an ethical responsibility to engage in activities […]

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Brokers for Health Care Providers?

Is there a broker profession that help health care providers and physicians to add their name to health insurance company’s list of health care providers? Thus enable them to take in patients who have insurance coverage? Is this legal? Where can I find a list of these brokers in my states? Do I have to […]

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Is health care billing a fraud?

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 […]

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where do l report medical insurance fraud?

l asked about this company before and it went into community while l was dozing. l lost the opportunity to thank the agent who warned me they "sometimes" use deceptive practices. The company is WellCare/Coordinated Care Plans. They sure did on me. They sent a "new, inexperienced" rep "who couldn’t answer our questions, would find […]

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