21st Century Insurance Files Suit Against Two Jersey Physicians for Alleged Auto Insurance Fraud

July 24, 2014

21st Century Insurance, a group of insurers which are a part of the Farmers Insurance Group of Companies, has filed a lawsuit in the Superior Court of New Jersey against two medical doctors and their professional organizations alleging that they knowingly submitted false, fraudulent and misleading billing, treatment and testing records to obtain payment for Electromyography/Nerve Conduction Velocity (EMG/NCV) studies that it is alleged were not medically valid for the reasonable and necessary treatment of patients.

The complaint also alleges that the EMG/NCV tests were performed inaccurately and interpreted in such a manner as to misrepresent the clinical condition and medical status of patients.

The detailed civil complaint seeks restitution and reimbursement of all monies paid to defendants as well as compensatory and treble damages under the New Jersey Insurance Fraud Prevention Act (N.J.S.A. 17:33A-1, et seq.) including investigation costs, costs of suit, interest and attorney’s fees. 21st Century Insurance also seeks an order declaring that defendants are not entitled to the payment of bills for EMG/NCV studies submitted by defendants for claims under automobile insurance policies issued by plaintiffs.

Source: 21st Century Insurance/Farmers Insurance Group

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