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Criminal Law

Claims Examiner’s Scam Cost California Health Care Provider $7M

A former senior claims examiner for the Kaiser Permanente health plan in California was booked into jail last week on a mail fraud charge stemming from $7 million in invoices that he approved from five private investigation firms.

Federal prosecutors say 48-year-old Michael Albert Quinn was aware that the private investigators did little of the work for which they billed Kaiser. He knew that firsthand because payroll records show that he worked full-time for two of the firms while at the same time working at his full-time position with Kaiser Permanente in Oakland, according to a criminal complaint filed by the U.S. District Attorney’s Office for Northern California.

Read the source article at Claims Journal

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