who do you report insurance fraud to?

by junettelogan » Wed Apr 23, 2008 01:42 am

Insurance cancelled 2 weeks after it was put in force and after I had cancelled my other insurance.
They had all info ahead of time and could have found out anything by the next day as the insurance company I send with next. The I had the insurance only 24 days and had to pay for more than a months insurance with no explanation as to how they figured what I was getting back.

Total Comments: 29

Posted: Fri Nov 06, 2009 11:35 am Post Subject:

Beth, I'm sure you could have asked for an explanation. Once you get an explanation you'd be able to check for discrepancies if any. If you come across a discrepancy it would give you an opportunity to negotiate with the adjuster. In case they fail to show you the right reason, you'd then need to register your complaint with your state doi.

Posted: Tue Jan 18, 2011 09:02 pm Post Subject: hospital fraud?

Went in for a procedure and the hospital charged $1194.00. My insurance paid out $1887.00! When asked why they paid MORE than was charged, they replied that that is the contracted amount for the procedure between the hosp. and the insurance co. If that is so, why didn't the hosp. charge that higher amount and also, where does the extra $693.00 go...is it accounted for? One procedure, one person, one day times the thousands of procedures done each year equals lots of unaccounted for money.

Posted: Thu Jun 30, 2011 06:10 am Post Subject:

i know someone who didnt want to make pmt on snowmobile anymore and put it on trailer {barely} took it for a ride and it fell off and wrecked it. insurance paid it off. any advise?

Posted: Thu Jul 07, 2011 04:22 am Post Subject:

You can contact your local law enforcement agency and see if they are willing to investigate it.

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