Ratings. Guidance. The Right Lawyer.
dental insurance fraud
Wilmington, DE
Viewed 49 times.
Posted about 1 month ago in Insurance Fraud
Flag as objectionable
i work for a dentist that bills out composite fillings to insurance companies but does sealants using flowable composite. She also recommended that a child under the age of ten needed seven root canals. I feel that she makes up work to be done as she goes. In addition, every medicaid/ state assistance patient that walks through our door magically needs fillings on every tooth. Im unable to find another position at this time and i dont want to continue to assist her while she commits these acts because it could come back on me as well. What are my options?
Answers (1)
Julie Marie Donoghue
This attorney is licensed in Delaware and 2 other states.
Posted 21 days ago.
Flag as objectionable
Hello, in my opinion, you have two options: One is to do nothing and hope that this dentist never gets caught committing insurance fraud. You did not state what your position is, whether it is medical billing or a dental assistant, but If this dentist does get caught, you are correct in assuming that you could be held accountable as someone who assisted in the fraud. Your second option, and in my opinion is the better one, is to report your suspicions to the Fraud Department of the Delaware Insurance Commissioner's Office. Here is their contact information: Call 1-800-632-5154 toll-free in Delaware or (302) 674-7350; send an email to fraud@state.de.us; or mail a report to Fraud Prevention, 841 Silver Lake Blvd., Dover, DE 19904. If you are afraid of losing your job, you should be more afraid of being held accountable as someone who assisted in a fraudulent scheme. This could follow you for the rest of your career, especially if the matter becomes criminal.
Good luck!
Back to Search Results
Next question: how long is a cour judgement good for? my husband and i have one from 10 yeras ago. Previous question: Mortgage responsibility |
