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May 26, 2017

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CIB arrests 3 doctors, 30 others in health insurance fraud

The Criminal Investigation Bureau (CIB) arrested three medical doctors and 30 accomplices on May 7 in an insurance fraud case in which the suspects allegedly cheated insurance firms for compensation and scammed the National Health Insurance (NHI) system by fabricating clinical histories.

 In a released statement, the CIB said it received tips last December that a suspect surnamed Ko (柯) had been serving as a middleman to introduce patients to doctors at the hospitals he was associated with.

 Ko had worked together with three doctors in Taichung, Chiayi and Changhua to arranged for patients to be hospitalized even though they did not need to undergo treatment.

 The suspects later filed for compensation from insurance firms with the falsified medical record and scammed the NHI by fabricating clinical histories.

 In return, Ko received NT$3,000 to NT$10,000 from each patient. Doctors also gained from the cooperation as they received benefits from the NHI.

 Following five months of investigations, police authorities in Central Taiwan launched raids on May 7 to arrest the suspects. The police suspected the illicit operation has so far raked in NT$8.5 million.

 The case is now being investigated by Taichung District Prosecutors Office and Changhua District Prosecutors Office.

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