My friend who lives in Philadelphia PA, said he fell on ice outside of a store. the store said that it has the Camera footage to show he never did. he does insist he did fall He has not spoken to anyone like insurance but he did speak to the store manager and she said she would send it to the claims department. he is not injured and is not seeking any money, but the store manager is saying he is committing insurance fraud. Is he if he does not want to file a claim at all? he says he fell I believe him, the store says he did not. he suffered a concussion as a result of the fall. He is nervous if he tries to get medical payment for a hospital visit they will charge him with Insurance fraud. Question is this considered insurance fraud?
If he did not fall but pursued payment from the store’s insurance for a hospital
bill that could be insurance fraud. First you say he had no injury, then you say he had a concussion. Frankly, this story doesn’t make sense but maybe your friend should be consulting with a criminal defense attorney as opposed to personal injury lawyer if he is being accused of insurance fraud. He can find a criminal defense lawyer here on Avvo .
Legal disclaimer: The statement above provided by Sandra Worthington, Esq. is general information and not intended to be a legal opinion because not all the facts are provided. The person requesting information and all others reading the answer should retain an attorney who is permitted by the state bar within the jurisdiction who can examine the complete facts and provide a legal opinion on your case. All information provided in the above answer and other information provided by Sandra Worthington, Esq. and Worthington Law Group does not create an attorney/client relationship within any state or under Federal law.
Your friend may want to tread lightly here because it could be considered fraud under certain circumstances. However to give him the benefit of the doubt a lot of times those cameras are not time sensitive or angle sensitive to where the person actually fell. He should obviously speak to a local attorney about this. Good luck!
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