Tag Archive for: health insurance fraud

R. v. S.R. – Insurance Fraud Investigation

Charge: Insurance fraud over $5000 investigation.

Issue: Given our client’s rehabilitation and repayment of disputed funds, whether it was in the public interest to proceed with a criminal prosecution.

Result: Mr. Gauthier was able to persuade the Insurance company to settle the matter on a civil basis. No criminal charges were forwarded. No criminal record.

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

Charge:  Fraud Under $5000.

Issue: Given our client’s rehabilitation and repayment of the disputed funds, whether it was in the public interest to proceed with a criminal prosecution.

Result: Mr. Gauthier was able to persuade the insurance company to settle the matter on a civil basis. No criminal charges were forwarded. No criminal record.

R. vs. C.C. – Insurance Fraud Investigation

Charges: Fraud Over $5,000 Investigation.

Issue: Given that we were able to negotiate a civil settlement of this $6,000 insurance claim overpayment, whether it was in the public interest to proceed with a criminal prosecution.

Result: Mr. Gauthier was able to negotiate a settlement of the alleged fraudulent claim. We obtained a full Release, ending the matter. No further liability. No criminal charges were forwarded.

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.