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Valued Contributor
Posts: 617
Registered: ‎08-03-2011

I was recently a victim of fraud through my health insurance. Since the claim wasn't put through to my insurance correctly, I received a bill. It was then that I discovered that I was a victim. It took me a couple of weeks to finally find out that the claims were for inpatient mental health and a spinal tap, It has taken a couple more weeks of my researching the situation to find out that the person was also being treated for drug abuse. I asked the insurance representative if this information could be removed from my insurance file because it is negative in nature and she said that it couldn't. I don't want this negative information to remain in my file. I don't know what else to do. If they are not filing the claims incorrectly, they are making me a victim of fraud. I don't know who else to turn to. I have two separate health insurance policies. Therefore, I need to have it removed from both. Do you have any suggestions?

Honored Contributor
Posts: 11,095
Registered: ‎03-10-2010

Oh no...there is bound to be away...I would not take no. I hope someone can come along that will have some suggestions of who you can contact. If not I would google.

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**Careful... I have caps lock and I am not afraid to use it.**
Honored Contributor
Posts: 78,345
Registered: ‎03-10-2010
Contact your state insurance board or commission. They regulate insurance companies.
New Mexico☀️Land Of Enchantment
Honored Contributor
Posts: 11,095
Registered: ‎03-10-2010

Here is what I found: LINK

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**Careful... I have caps lock and I am not afraid to use it.**
Honored Contributor
Posts: 9,817
Registered: ‎03-09-2010
I think you have grounds to get a lawyer who will take your case on contingency...because this shouldn't cost you anything.
Honored Contributor
Posts: 19,779
Registered: ‎09-06-2010

kachina and September are both correct.......I was going to suggest what both of them said.

Also, you might want to get in touch with your state Prosecuting Attorney......

Valued Contributor
Posts: 617
Registered: ‎08-03-2011

Thank you for the link and the rest of the information. I found it to be encouraging and helpful!

Honored Contributor
Posts: 11,095
Registered: ‎03-10-2010
On 11/22/2014 Furry said:

Thank you for the link and the rest of the information. I found it to be encouraging and helpful!

Best of luck.

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**Careful... I have caps lock and I am not afraid to use it.**
Respected Contributor
Posts: 3,279
Registered: ‎05-15-2010

My first thought is for you to contact your state's Insurance Commissioner.

Respected Contributor
Posts: 3,358
Registered: ‎02-21-2014
On 11/22/2014 croemer said:

Here is what I found: LINK

That link about Medical Identity Theft

is important and something we all need to know about. Thanks.


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