Allstate Insurance Company Seeks $2.6 Million From Michigan Medical Practitioners.FARMINGTON HILLS Far·ming·ton Hills A city of southeast Michigan, an industrial suburb of Detroit. Population: 81,400. , Mich. -- Allstate Insurance Company has filed a declaratory judgment declaratory judgment In law, a judgment merely declaring a right or establishing the legal status or interpretation of a law or instrument. It is binding but is distinguished from other judgments or court opinions in that it includes no executive element (an order that action (DJA DJA See Dow Jones Averagesr (DJA). ) against New Start, Inc., Another Step Forward, The Healing Place, Ltd., THP Intensive Services, Roman Frankel, Bruce Lessien M.D. and Thomas Kane Thomas Kane is the name of:
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. , corporate practice of medicine, unjust enrichment A general equitable principle that no person should be allowed to profit at another's expense without making restitution for the reasonable value of any property, services, or other benefits that have been unfairly received and retained. , practicing psychology without a license and illegal fee splitting fee splitting n. The practice of sharing fees with professional colleagues, such as physicians, for patient or client referrals. Noun 1. . The investigation of the practitioners and corporations began in June 2003. Frankel and the corporations - New Start, Inc., Another Step Forward, The Healing Place, Ltd. and THP Intensive Services - were responsible for treating patients with substance addiction, traumatic brain injury Traumatic brain injury (TBI), traumatic injuries to the brain, also called intracranial injury, or simply head injury, occurs when a sudden trauma causes brain damage. TBI can result from a closed head injury or a penetrating head injury and is one of two subsets of acquired brain and/or psychiatric illness. Insureds were placed in initial care under Bruce Lessien, psychiatrist and medical director of The Healing Place, Ltd., Insureds were later discharged to Another Step Forward and New Start, under the supervision of medical director Thomas Kane, D.O. Frankel would bill for his services in addition to fees generated for the above stated programs. The DJA alleges the corporate entities owned by Roman Frankel were not properly licensed for the services they were providing. Further, the complaint alleges Frankel is not licensed to be a psychologist in the state of Michigan nor is his degree recognized by the state. Accordingly, Allstate has filed this action to recover the money improperly collected by the defendants. "In reviewing our records with Mr. Frankel and corporate entities doing business with him, Allstate has uncovered alleged improper billing procedures of services for which they were not licensed. As a commitment to our Allstate customers, we will diligently pursue this issue for timely resolution," said Edward Moran For other persons named Edward Moran, see Edward Moran (disambiguation). Edward Moran (born August 19, 1829 in Bolton, Lancashire, England; died June 8, 1901 in New York City) was an American artist. , Allstate assistant vice president for Special Investigations. Allstate alleges that fees paid to the corporations for services were to be provided to their insureds under the No Fault Act, which states automobile insurers are responsible to pay for all reasonable and necessary medical services for insureds. As such, the DJA will demand reimbursement in excess of $25,000 as allowed by Michigan Statute for payments issued by Allstate Insurance Co. Payments issued by Allstate total $2.6 million. There have been a total of 15 claimants. Allstate filed the declaratory judgment action on Oct. 25 in Oakland County Circuit Court. 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 14,100 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. The Allstate Financial Group provides life insurance, 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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