IMO/Broker Fraud

by Guest » Fri May 02, 2014 10:57 pm
Guest

Hypothetically speaking, you would have to have indisputable proof of fraudulent billing. Assuming I had that, I would approach the broker/IMO with my evidence and simply ask questions. Play dumb if you want.

"Mr. Broker, I'm not sure I understand this: Right here, we can clearly see you've billed Blue Cross for marketing that never happened. Why would a successful guy like you bill insurance carriers for work that was never performed? I wonder how the insurance companies would feel about this? I wonder if this is illegal/unethical/immoral? What should I do here?"

Some people are going to call this type of approach confrontational. Good God, we'd hate to hurt anyone's feelings - especially if they're ripping off insurance companies.

The chances of you finding a regulatory agency that'll take an interest in this sort of thing are slim at the very best. You might call he insurance company and see who'll chat with you about it.

It certainly seems as though your intentions are good and I applaud that. Good luck.

Total Comments: 13

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