An insurance charge relates to an allegation of criminal conduct involving insurance or to a particular charge made by a health care provider related to a patient’s insurance coverage. Criminal conduct in the insurance charge area usually involves fraud. In matters relating to a charge made by a health care provider, the issue is generally a contract related issue about insurance coverage. Many lawyers work for insurance companies. Such lawyers will often investigate an insurance charge to determine whether fraud is in play. Other times, the lawyer will negotiate with a health provider to determine insurance coverage issues.
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