Allstate sues Florida physician for alleged insurance coverage fraud scheme

Allstate has filed a lawsuit in opposition to a Florida physician who allegedly fabricated medical information to invoice the insurer for pointless spinal surgical procedures.

In a 70-page lawsuit filed in federal courtroom in late December, Allstate accused Ravi Xavier of partaking in an “insurance coverage fraud scheme” wherein he would invoice corporations for therapies that have been “extreme, and, in lots of cases, not carried out in any respect.”

Xavier is the proprietor of Florida Anesthesiology & Ache Clinic, which was additionally named as a defendant within the go well with.

In line with Allstate’s preliminary criticism, Xavier issued invoices for a number of same-day procedures which are medically incompatible and shouldn’t be carried out concurrently.

In a single occasion, Xavier billed Allstate for spinal injections utilizing strategies described within the go well with as “physiologically unattainable,”

He additionally submitted a number of invoices for a dearer process and “routinely skipped” the required preliminary take a look at, the lawsuit claimed.

For different billed procedures, Xavier allegedly misrepresented diagnostic radiology outcomes to justify his invoices.

The lawsuit went on to contend that Xavier constantly used related language to explain sufferers’ accidents and signs in claims. The descriptions he supplied have been mentioned to have similar typos and contradicted what sufferers communicated to Allstate about their causes for searching for remedy.

Additional within the go well with, Allstate accused Xavier of collaborating with private harm attorneys as a part of his scheme, claiming that automobile crash victims who sought “little or no medical remedy” have been referred to his clinic by “a number of legislation corporations.”

Xavier later rejected the settlement by means of his lawyer, in response to the lawsuit.

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