Horizon Blue Cross Blue Shield building in Newark, New Jersey. Photo by Carmen Natale/ALM Jury Awards Horizon $2.4 Million for Fraudulent Billing Against 3 NJ Health Care Providers
Horizon's complaint alleged it paid more than $2.6 million in claims that were fraudulently submitted by the defendants for medical services that were either not performed, not medically necessary, or not ordered by a licensed medical professional.
October 02, 2024 at 12:28 PM
2 minute read
An Essex County jury awarded $2.4 million to Horizon Blue Cross Blue Shield in a suit filed against three health care providers for fraudulently billing the health care giant for services.
Horizon's complaint alleged that it paid more than $2.6 million in claims that were fraudulently submitted by the defendants for medical services that were either not performed, not medically necessary, or not ordered by a licensed medical professional. The lawsuit, Horizon v. Integrative Medicine & Biofeedback Clinic, was filed in February 2017 in Essex County Superior Court against a massage therapist, C. Samuel Verghese, physician James Claire, D.O., and Mount Laurel-based Integrative Medicine & Biofeedback Clinic over allegedly fraudulent claims.
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