We all know that the health insurance industry continuously increased the monthly prizes and many believe that this unfair that you as a consumer. The insurance industry was however increase health insurance fraud. The amount spent on the investigation and prosecution of fraud, then passed to the insured. Many people include insurance fraud includes, but not what health. With reports of estimate was 30 million dollars through the 100 million dollars a year is easily that that element should not be taken by health insurance. All policyholders of health insurance must understand what fraud is safe for health and its implications. In this way can you recognize and combat fraud.
Health insurance fraud is usually intentionally misleading, distorted or claim defines information hidden by the insurance company. In essence, this means that you claim that you have paid for some really don't send doctors stated that the processes of the insurance company or private spending, gave you a refund. Another example of Member fraud is to hide previous illnesses or medical, edit documents, uninsured or member received medical treatment are not eligible after his policy. Perhaps, his sister has no insurance and need medical care. After using your name and the insurance policy to cover the fraud charges is health insurance. Some might think that there is a small problem compared to her sister, treatment, your health insurance company, the industry is really very serious and leads to fines and possible imprisonment if they were surprised.
Fraud not only guaranteed confirmation, but the providers (doctors, hospitals, etc.). As doctors and hospitals by the insurance company for the services they offer for your account, you will also receive reimbursement from the insurance company. If the provider can commit fraud at higher rates for billing services are the company's insurance, or you can account for the services that he never received. In these cases, the study is probably required to contribute to the insurance company.
Another type of health insurance fraud, which has developed recently directed the insured and the insurance company. Systems have been developed, in which false insurance companies or agents to surprising unsuspecting customers for reporting low contribution rates. It is often as a regular insurance company for the first payment of months for medical applications below as doctors visits. But, as soon as they needed a more serious disease, the treatment, the insurance company is going to disappear, along with the money he paid premiums.
The rule with the insurance fraud is similar to other fraud: if it seems a very good thing-it is likely. Remember, be honest in their dealings with health insurance companies and are the same for these companies, as well as their health care providers. Keep to avoid legal fines and jail and keep health insurance.
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