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Office of the District Attorney, Tony Rackauckas, Orange County DA
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F.A.Q.
Q: I received a copy of an insurance bill in the mail and believe that there is some sort of fraud. I did not receive the treatment described in the bill. What should I do?
Q: A friend told me that I can get a break on the price of cosmetic surgery if I undergo some tests at an outpatient surgery center. Is this legal?
 

Q: I received a copy of an insurance bill in the mail and believe that there is some sort of fraud. I did not receive the treatment described in the bill. What should I do?
A: Some dishonest medical providers bill insurance companies for services that were not rendered. If you believe this has happened, you should report this to your insurer and/or your employer. If they believe there is something questionable, they will report to the proper authorities and begin an investigation.
 
Q: A friend told me that I can get a break on the price of cosmetic surgery if I undergo some tests at an outpatient surgery center. Is this legal?
A: It is illegal to be treated for a medical problem that does not exist. It is also illegal to receive any kind of commission, bonus or kickback for undergoing medical treatment. This fraud may involve your undergoing general anesthesia and risking you health for a few dollars in commissions or cheap cosmetic surgery. If you are caught, you could be convicted of a felony that would carry a penalty of up to five years in state prison and/or a $10,000 fine. You may also be required to reimburse the insurance company if it paid claims that were false or fraudulent.
 
 


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