I have a question...but you ain't getting an answer

On Jul 31, 2:17 pm, jurim...@xxxxxxxxx wrote:
Mark:

I have a project going on where I'm investigating some strange
circumstances involving suspicious "Denial of Claim."   Perhaps you
can tell me where to look for the answers.

I have nine "Denial" letters in several different States, for the same
procedure, all purported to be written by different health
professionals on behalf of different health insurance companies.  The
letters, however, very much appear to be written by the same person.

Even more interesting is that in checking on EACH of the health
professional letter author's validity, by tracing back the person
themselves - EVERY ONE of the letter authors turn out NOT to be a real
person.  Every one of the Universities the authors claim, by using the
University stationary to write their letters, NEVER HEARD of these
people, and they do not, as the letters claim, work for those
Universities.

MORE, NONE of these letter writers actually seem to exist.  NO State
Board shows their presence, and the names of the letter writers appear
to be made up of whole cloth.

I think I have discovered a fraudulent operation, probably a service
company to the health insurance industry.  Since we are talking here
about nine separate "Felonies," I wish to proceed cautiously.

Got any ideas?  

I got lots of ideas. However, they are expensive, and you could not
afford them. Even if you could, I require pre-payment from any new
client, a verifiable physical address, and, when you are working for a
third party, full disclosure of the identity of the third party and
their physical address.

Where can I find the culprits?

Have your proctologist help you.

.

Quantcast