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 data to invoice the insurer for pointless spinal surgical procedures.

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

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

Based on Allstate’s preliminary grievance, Xavier issued invoices for a number of same-day procedures which can be medically incompatible and shouldn’t be performed concurrently.

In a single occasion, Xavier billed Allstate for spinal injections utilizing strategies described within the swimsuit as “physiologically not possible,”

He additionally submitted a number of invoices for a dearer process and “routinely skipped” the required preliminary check, 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 persistently used related language to explain sufferers’ accidents and signs in claims. The descriptions he offered have been stated to have an identical typos and contradicted what sufferers communicated to Allstate about their causes for looking for remedy.

Additional within the swimsuit, 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 regulation companies.”

Xavier later rejected the settlement by means of his lawyer, in accordance with the lawsuit.

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