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Civil Plaintiff

Doctors Care, UCI, and UCI Medical Affiliates, Inc. Agree to a $22.5 Million Settlement Over False Claims Act Allegations

The state’s largest urgent care provider and its management company have agreed to settle allegations of healthcare fraud, according to the U.S. Attorney for South Carolina.

Doctors Care, UCI and UCI Medical Affiliates, Inc. will pay $22.5 million to resolve the civil allegations made by a whistleblower complaint, according for Acting U.S. Attorney for South Carolina Rhett DeHart.

The complaint accused the companies of falsely certifying that certain urgent care visits were performed by providers who were credentialed to bill Medicaid, Medicare, and TRICARE for medical services. But the complaint stated the services were actually performed by non-credentialed providers.

Federal health insurance companies require physicians and midlevel providers to apply for and receive billing credentials that serve as approval to bill any services to the insurer, according to a release from DeHart’s office.

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