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fernmyth | 1 year ago

There's no reason for the doctor to involve any patients, other than to write their names down. These are fraud factories submitting thousands of templated claims per year.

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gruez|1 year ago

>There's no reason for the doctor to involve any patients, other than to write their names down.

...until the patient looks at his health insurance account and notices a charge that he doesn't recognize, or the insurance company decides to do a random audit of a claim.

SpicyLemonZest|1 year ago

Right, it's true that insurance companies investigating and denying claims is a major constraint on claims fraud. That's why Medicare and Medicaid still deny a lot of claims (although not so many as UHC) despite being publicly run.