Is this medical insurance fraud?
I made an appointment for this Ear, Nose & Throat clinic.
I went there today because I have a severe nose congestion problem, but once I got there they did a hearing test called Audiogram and they sent me home telling me the doctor was in vacation as of today. I asked them why they didn't call me to let me know that he was gone, and they didn't know what to say.
I asked the supervisor for a complaint number because I came here all the way to see a doctor but they told me he went on vacation today and that's why I have to come back next week.
They billed my insurace for the hearing test even though I never requested it and never said I have a hearing problem only NOSE congestion problem. They were very unhelpful and they knew they did commited fraud against my insurance.
I called my insurance company but they were closed just now, and wanted to know if I can get anything out of it like getting that medical clinic shut down. They are a member of American Board of Otolaryngology.
Answers:
What they did was unethical. You should definitely report it to your insurance company first thing in the morning. Insurance companies are unethical themselves, and they don't appreciate being outscammed by doctors.
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