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> they tend to not be well supported by the number Personal opinion or did you ever talk to anyone investigating these things? First of all, the fraud is comm
by buran77 3y ago
> they tend to not be well supported by the number
Personal opinion or did you ever talk to anyone investigating these things?
First of all, the fraud is committed by the patient, they're the one submitting the claim to their private insurance without validating it. Secondly, it will always be called a mistake if you object to it. But nobody does because remember, private insurance pays anyway. On top of it once you object and have a few arguments with them you may even find yourself having difficulties to get an appointment if it's a desired doctor with a queue at the door.
There are no numbers because this is not investigated, there just aren't resources for this. Nobody with a private insurance bothers reporting a $5-10 shot they never received and nobody wastes resources to investigate it. I've seen attempts to swindle me out of 5 digit sums of EUR that would have otherwise been blindly paid by the insurance. I actually checked everything, I objected, it was called a system error. I have acquaintances who work with the authorities and they confirmed that even if you find a pattern it's impossible to prove intent, so it never goes further than "we correct the mistake for those who report it".
Politician corruption is basically non-existent, and Al Capone just didn't pay tax. According to the numbers.