Tag Archive for: health insurance fraud

R. vs. A.J. – Insurance Fraud Investigation

Charges: Fraud Over $5,000 Investigation.

Issue: Given that we were able to negotiate a civil settlement of this $13,000 insurance claim overpayment, whether it was in the public interest to proceed with a criminal prosecution.

Result: Mr. Mines was able to negotiate a settlement of the alleged fraudulent claim. We obtained a full Release, ending the matter in both the civil and criminal context. No further liability. No criminal charges.

R. v. K.T. – Insurance Fraud Investigation

Charges: Fraud Under $5000.

Issue: Given our client’s repayment of the alleged fraudulent health insurance benefit claims, whether it was in the public interest to proceed with criminal charges.

Result: Mr. Mines was able settle the matter on our client’s behalf and received a Release from the insurer ending the matter without any further civil or criminal proceeding. No charges were approved.