Allstate Expands Million Dollar Philadelphia Fraud Case; Ongoing Investigation Identifies Six More Co-Conspirators.MALVERN, Pa. -- Allstate Insurance Company is expanding a 1.1 million dollar insurance fraud case that has already shut down a fraudulent Philadelphia area rehabilitation rehabilitation: see physical therapy. clinic. Allstate, along with Encompass Insurance, has filed suit against a Philadelphia area doctor and two of his alleged business partners contending the three marketed computerized medical billing software that was used to create fictitious Based upon a fabrication or pretense. A fictitious name is an assumed name that differs from an individual's actual name. A fictitious action is a lawsuit brought not for the adjudication of an actual controversy between the parties but merely for the purpose of medical bills - generating more than $400,000 in fraudulent billing for the trio. This latest suit was filed in U.S District Court in Philadelphia against Physical Medicine & Diagnostics, Ltd., Philmont Rehabilitation Associates, ISY ISY Institutionen För Systemteknik ISY International Space Year ISY I See You Medical Reports, Inc. and the company's three owners -- Lawrence Schofer, Kenneth Izzo, M.D. and Alan Young For the football (soccer) player, see . Alan Young (born November 19, 1919) is an actor best known for his television role opposite a talking horse, Mister Ed. . The suit alleges insurance fraud, conspiracy and intentional in·ten·tion·al adj. 1. Done deliberately; intended: an intentional slight. See Synonyms at voluntary. 2. Having to do with intention. misrepresentation misrepresentation In law, any false or misleading expression of fact, usually with the intent to deceive or defraud. It most commonly occurs in insurance and real-estate contracts. False advertising may also constitute misrepresentation. of medical services. This case is the latest chapter in a developing fraud story that began last year. In August of 2004 the U.S. District Court in Philadelphia awarded Allstate and Encompass $1,100,244 in a case that bankrupted a fraudulent rehab clinic -- American Rehabilitation and Physical Therapy Inc. In that case, the court said American Rehabilitation and Physical Therapy and its three owners, Richard Privitera, Steven Moldover, and Dean Parker used unlicensed people to perform medical tests, subjected some patients to testing that was medically unnecessary and further conspired to defraud To make a Misrepresentation of an existing material fact, knowing it to be false or making it recklessly without regard to whether it is true or false, intending for someone to rely on the misrepresentation and under circumstances in which such person does rely on it to his or insurance companies by billing for tests that were never performed and over-billed for legitimate tests. Allstate says that further investigation by its Special Investigation Unit (SIU SIU Southern Illinois University SIU Seafarers International Union SIU Special Investigations Unit SIU Schiller International University SIU Special Investigative Unit SIU Salem International University SIU Societá Italiana di Urologia ) has revealed Schofer, Izzo and Young owned the medical billing service that allegedly provided the means for the fraud - ISY Medical Reports. Court documents filed by Allstate say the three were "co-conspirators, who agreed, aided, abetted and provided the essential means" for American Rehab to facilitate fraud. "Allstate is serious about fighting insurance fraud. We have no tolerance for this crime. Our policyholders and consumers in general benefit from our aggressive fight against insurance fraud. Allstate's Special Investigation Unit will continue to partner with law enforcement officials in Pennsylvania and across the country to identify and fight fraud," said Edward J. Moran Assistant Vice President in charge of Allstate's Special Investigations Unit. The Allstate Corporation (NYSE NYSE See: New York Stock Exchange :ALL) is the nation's largest publicly held personal lines insurer. Widely known through the "You're In Good Hands With Allstate(R)" slogan, Allstate helps individuals in approximately 17 million households protect what they have today and better prepare for tomorrow through approximately 13,600 exclusive agencies and financial professionals in the U.S. and Canada. Customers can access Allstate products and services such as auto insurance and homeowners insurance through Allstate agencies, or in select states at allstate.com and 1-800 Allstate(R). Encompass(SM) and Deerbrook(R) Insurance brand property and casualty products are sold exclusively through independent agents. Allstate Financial Group provides life and supplemental accident and health insurance, annuity, banking and retirement products designed for individual, institutional and worksite customers that are distributed through Allstate agencies, independent agencies, financial institutions and broker-dealers. |
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