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Insurers Sue Medical Clinics

Allstate Insurance Co., Country Insurance & Financial Services (formerly MSI Insurance Cos.), Encompass Insurance (through underwriting company Continental Insurance Co.), and Progressive Casualty

By Staff Writer | Updated on January 26, 2006

Allstate Insurance Co., Country Insurance & Financial Services (formerly MSI Insurance Cos.), Encompass Insurance (through underwriting company Continental Insurance Co.), and Progressive Casualty Insurance and other affiliate companies have filed a $1.5 million suit against the owners and operators of 16 medical clinics, alleging that they schemed to defraud the insurers.

The suit accuses Robert Wohfeld, Jeanette C. Couf, Craig Waltzer, and others of conspiring to falsely bill insurance companies for $770,000, although the suit also seeks legal and investigative fees. The complaint alleges that the defendants committed fraud by, among other things, illegally soliciting accident victims to receive treatment in chiropractic clinics and other clinics that they owned or operated, charging for medical services never performed, and administering and billing for unnecessary and excessive treatments. According to the suit, the defendants worked with runners who contacted people involved in accidents and then transported them to the defendants’ clinics for chiropractic, physical therapy, and other treatments that were unnecessary or excessive. In addition, the treatments were prescribed according to a standardized plan that was not based on the needs of the patients but designed to maximize the clinics’ billings, the plaintiffs charged.

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