Welcome to the Insurance Fraud Legion of Shame. The year’s convicted extreme schemers were chosen by the New York Alliance Against Insurance Fraud. Driven to deceive. Michael Danilovich (NYC) masterminded a massive fraud ring that stole $279 million in false injury claims from bogus and setup car wrecks. It was one of the largest such […]
Pavlova a/a/o Cosby Reavis v Allstate Ins. Co. In this no-fault suit, plaintiff medical provider billed for services under CPT code 20999, which is a “by report” code. The insurer denied the claim on the grounds that the provider did not supply documentation backing up the need for the services. The Appellate Term held that […]
By Marilyn M. Singleton, M.D., J.D. Paris is in flames over a fuel tax increase that would pile 30 cents onto the $7.06 per gallon price paid by citizens whose average monthly salary is $2,753.This burdensome “carbon tax” on the middle class is intended to help meet Europe’s commitment to reduce carbon dioxide emissions and thereby […]
First Am. Alliance, Inc. v Ameriprise Ins. Co. In this no-fault suit, plaintiff medical provider billed for services under CPT code 20999, which is a “by report” code. The insurer denied the claim on the grounds that the provider did not supply documentation backing up the need for the services. The Appellate Term held that […]
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