Can I get into trouble for insurance fraud by following my employer's orders on filing claims?
Miami, FL
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Posted 9 months ago in Insurance
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I work for a dental office. My employer wants me to charge a patient for a procedure their insurance company (for which my office is a preferred provider) denied and says is not billable to the patient. He also wants me to block insurance claims from being sent out to companies we've signed on as a preferred provider with when we know insurance will deny the claim and show not billable to patient. Is this considered fraud? Can I, personally, get into legal trouble?
Answers (1)John R. Walker
This attorney is licensed in Texas.
Posted 9 months ago.
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Yes, it would be fraud in most states. And yes, you can get into both criminal and civil legal trouble.
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