This is a great read (and podcast) about the massive fraud that can occur by the medical industry against the insurance industry, and hence the public who pay insurance premiums.
12-year Insurance Fraud Scheme Cost State Fund $1.6 Million
An insider would approve fake treatment submitted by a medical “provider.”
Hudson ‘Runner’ In $3.5M Accident Insurance Fraud Scheme Gets Year And Day In Federal Prison
This is a great example of the exact type of fraud we can detect: