21st Century Insurance Files Lawsuit Against Two New Jersey Physicians for Alleged Fraud Related to Auto Insurance Claims
MORRISTOWN, N.J., July 22, 2014 /PRNewswire/ -- 21st Century Insurance, a group of insurers which are a part of the Farmers Insurance Group of Companies®, has filed a lawsuit in the Superior Court of New Jersey against two medical doctors and their professional organizations alleging that they knowingly submitted false, fraudulent and misleading billing, treatment and testing records to obtain payment for Electromyography/Nerve Conduction Velocity (EMG/NCV) studies that it is alleged were not medically valid for the reasonable and necessary treatment of patients. The complaint also alleges that the EMG/NCV tests were performed inaccurately and interpreted in such a manner as to misrepresent the clinical condition and medical status of patients. The detailed civil complaint seeks restitution and reimbursement of all monies paid to defendants as well as compensatory and treble damages under the New Jersey Insurance Fraud Prevention Act (N.J.S.A. 17:33A-1, et seq.) including investigation costs, costs of suit, interest and attorney's fees. 21st Century Insurance also seeks an order declaring that defendants are not entitled to the payment of bills for EMG/NCV studies submitted by defendants for claims under automobile insurance policies issued by plaintiffs.
"Our Special Investigations Unit continues to investigate all types of potential insurance fraud on all fronts," said Sean Zavala, Director of Special Investigations, for Farmers Insurance, of which 21st Century is a member company. "21st Century Insurance will continue to file these actions in an effort to protect our customers."
Farmers Insurance Group of Companies is a leading U.S. insurer group of automobiles, homes and small businesses and also provides a wide range of other insurance and financial services products. Farmers Insurance is proud to serve more than 10 million households with more than 20 million individual policies across all 50 states through the efforts of over 50,000 exclusive and independent agents and approximately 22,000 employees.
SOURCE Farmers Insurance Group of Companies