Author Topic: Technical/Legal Question Regarding Insurance Claims  (Read 826 times)

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Technical/Legal Question Regarding Insurance Claims
« on: April 17, 2005, 08:50:00 AM »
"Newton and his operation have been sued many times, and his carriers have paid out more than $5.8 million. He's been investigated criminally in Florida and New Jersey, but never prosecuted. But one by one, agencies have cut off the payment of claims, sometimes after exposes by the television shows "60 Minutes," "20/20" and "West 57th Street." -- from thestraights.com, i believe the denied claims referred to here were from Kids of NJ



could someone please explain why an insurance company would have reason to care if the claim they were paying came from a facility practicing child abuse. thank you.

(talking to myself...)
because that gave them good reason not to pay the claim. whenever possible, they don't pay the claim.

but say it was a sluggish government insurance agency, like Medicaid (am i wrong?), so they just didn't get around to caring one way or the other, and paid the claims... would that get them in any trouble?
« Last Edit: December 31, 1969, 07:00:00 PM by Guest »