What is the name of your state (only U.S. law)? Michigan
Does an insured person have a cause of action against one of their medical providers who committed insurance fraud, billing for services that they shouldn't have? (In the context of both auto and medical insurance.)
Or, would the only cause of action be for the insurance company (rather than the insured) to file suit against the medical provider? (Or, of course, a prosecutor filing criminal charges.)
EDIT: Assuming there was NO out of pocket expenses from the insured. So, the cause of action would need to be statutory, punitive, etc.
EDIT 2: In case it's relevant, it has to do with having admitted to repeatedly and intentionally billing for services another provider provided.
EDIT 3: No medicare/medicaid, and this occurred before ObamaCare, so I don't believe a Qui Tam case is possible.
Does an insured person have a cause of action against one of their medical providers who committed insurance fraud, billing for services that they shouldn't have? (In the context of both auto and medical insurance.)
Or, would the only cause of action be for the insurance company (rather than the insured) to file suit against the medical provider? (Or, of course, a prosecutor filing criminal charges.)
EDIT: Assuming there was NO out of pocket expenses from the insured. So, the cause of action would need to be statutory, punitive, etc.
EDIT 2: In case it's relevant, it has to do with having admitted to repeatedly and intentionally billing for services another provider provided.
EDIT 3: No medicare/medicaid, and this occurred before ObamaCare, so I don't believe a Qui Tam case is possible.
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