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Suspicious medical treatment
Physician has reputation for handling suspicious claims
Prolonged or excessive treatment received for minor injury
Discrepancies exist between treatment or medication and claimed injury
Sketchy details listed on medical bills
Medical bills are photocopies, not originals
Clamant received unnecessary hospitalization
Claimant visits several doctors (possibly in search of a medical opinion
that favors the claim)
Physician directs treatment to occur at a facility where he has a financial
interest
Bill lists a treatment date that is a holiday
Bill is inflated due to "unbundling" -- billing for each step of
medical procedures
Medical report appears exactly the same as other reports from the same
physician
Insurers for both workers' compensation and group health are billed
simultaneously and payment is accepted from both
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