11th Circuit dismisses Florida Medicare fraud FCA suit for lack of specific allegations
On July 5, 2016, the U.S. Eleventh Circuit Court of Appeals affirmed the dismissal of a former employee’s False Claims Act...
Read more
Coalition, NICB implore Kentucky court to allow insurer EUOs
Examinations under oath help insurers combat fraud and should be allowed without requiring time-consuming court orders in Kentucky, the Coalition Against...
Read more
Cigna ordered to pay more than $13 million in out-of-network healthcare provider billing dispute
There has been a dramatic rise in the number of lawsuits involving billing disputes between plans subject to the Employee Retirement...
Read more
chubb-unit-federal-insurance-check-theft-claim-crime-policy-dispute
A federal appeals court has affirmed a lower court’s summary judgment, holding a Chubb Ltd. unit was justified in denying coverage...
Read more
GEICO’s zero tolerance for fraud leads to filing RICO lawsuit in Florida
To prove its point that GEICO has a zero tolerance policy regarding insurance fraud, GEICO last month filed a lawsuit in...
Read more
Renown Health pays $9.5M to settle Medicare fraud suit
The operator of the largest hospital and health care network in northern Nevada has agreed to pay the Justice Department $9.5...
Read more
UnitedHealth sues American Renal Associates, alleging fraud
UnitedHealth Group Inc. sued kidney-care chain American Renal Associates Holdings Inc., accusing it of fraud as health-industry fights escalate over who...
Read more
Court decision broadens ability to prosecute multi-state frauds
Recent examples of criminal insurance fraud in New York1 and elsewhere across the country2 highlight the continuing nature of the insurance...
Read more
Geico files RICO lawsuit against glass repairers in Florida
In a lawsuit filed on June 9, GEICO has sued five companies and six known individuals engaged in a complex scheme...
Read more
ERISA precludes man’s breach of contract and insurance fraud claims
The U.S. Court of Appeals for the Third Circuit agreed with a trial court that the Employee Retirement Income Security Act...
Read more
