Fraud Indicators in Personal Injury Claims Include Medical Bill and Record Discrepancies

by Anne L.
(Rockville, MD)


Another major red flag indicator of insurance fraud in personal injury claims are medical records which do not match dates of service on the corresponding medical bill. For example, you may submit a medical bill to the at-fault driver’s insurance company to support your claim for personal injury, but through some record-keeping error at your doctor’s office, the medical records which are supposed to document your complaints and treatment show different dates of treatment than the bill does. This sends up an alarm at the insurance company handling your claim and the case may be referred to the special investigation unit for review for potential fraud.


If you are collecting your own medical bills and records and submitting them to the insurance company yourself, take a moment to check the dates. If the dates on the bills and doctor’s notes do not match up, take the time to contact the doctor’s office and have the problem corrected. Do not attempt to correct anything yourself as that could be considered fraud. This might take a little time and effort on your part, but it will save you trouble in the long run.

This article is approved for informational purposes only and is not intended to take the place of competent local legal counsel.

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