Friend stole my insurance!


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sodone is offline sodone Post #1  September 15,2009, 3:55am
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This is such a strange problem to have...very Jerry Springer, I think. I'll take any words of advice as to how to handle this situation.

So...my friend of 15 years, a very attractive professional woman (lawyer) has apparently stolen my insurance info in order to obtain Vicodin. This has been going on for a long time, though I just recently found out about it.

I don't know what to do. This person is not the type to ever admit to this type of behavior, would vigorously deny having any type of addiction problem and of course it would be professional suicide for her if this ever came out. Two doctors are listed as the prescribing physicians and both are friends of hers. I highly doubt that they know about this and I suspect that perhaps prescription pads were stolen.

Of course I don't want this to continue. I hesitate to report this to the authorities, though, because I am afraid that my friend and the doctors' livelihoods are at risk. I would like to help my friend with her addiction problem, but don't think I could get her to admit she has one. She would deny it all and probably turn on me.

sigh

Any thoughts?
 
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meri75 is offline meri75 Post #2  September 15,2009, 1:29pm
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If you do not report it to the appropriate authorities, are you exposing yourself to charges by taking no action? What about the fine print on your T&C with your Insurer .. can they force you to pay back what they have covered due to the fraudulent behaviour of your friend?

If I were in your situation, I would want to know where I stood legally. I would also be reporting it ASAP, because I think it looks like I knew about it and helped by giving my friend my insurance information.
 
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Spider is offline Spider Post #3  September 15,2009, 1:52pm
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You have to report it. If the fraud is uncovered by the insurance company or the pharmacy, you will be involved in insurance fraud. Your knowledge of the crime makes you an accessory unless you report it immediately.

Call the police today, and let them sort it out.
 
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neardc is offline neardc Post #4  September 15,2009, 2:01pm
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I don't know how you discovered this, but don't you get some sort of paperwork from your insurance company that shows how you've used your insurance?

Whether you do or don't, contact your insurance company ASAP to let them know that you've just noticed that there appears to be unauthorized prescription activity on your account for a Schedule III substance. They will pursue the situation. Now that you are aware of the activity, it's important that you not be complicit in it.

I hope that your friend will be able to get the help that she evidently badly needs.
 
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brneyedangel is offline brneyedangel Post #5  September 15,2009, 3:42pm
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Please do take the advice of the people posting here and report this. It's obvious that your friend desperately needs help, but it is not your responsibility to provide this help to her--let the professionals take care of that. You also aren't responsible for her career; she made her choices and the consequences are hers to deal with, as a result.

I know this sounds harsh, but the only person you should be concerned for right now is you. Your concern should be with your future and the impact this could have on your life if this is discovered before you decide to report it. No one else is going to look out for you in this situation. Your friend crossed a line here, and basically used you (albeit unknowingly) to commit a crime. If it is discovered that this fraud has taken place and you are a friend of the person committing the fraud, you are going to have a heck of a time defending yourself, especially since insurance companies send statements to their customers and you haven't been prescribed Vicodin. I understand your compassion for your friend, I really do, but please consider yourself here, as well.
 
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TheThinker is offline TheThinker Post #6  September 15,2009, 4:05pm
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Spider wrote :
You have to report it. If the fraud is uncovered by the insurance company or the pharmacy, you will be involved in insurance fraud. Your knowledge of the crime makes you an accessory unless you report it immediately.

Call the police today, and let them sort it out.
Absolutely correct.
You must report it. Not even an option.
Not reporting it adds evidence to their case for collusion charges...
And they will prosecute.
 
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neardc is offline neardc Post #7  September 15,2009, 4:34pm
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Just so you know, if she does get arrested and charged, she will most likely be sent through Drug Court (if you don't know what those are, you can learn a bit more here: http://www.ncjrs.gov/spotlight/drug_courts/summary.html). The focus there will be on addressing her addiction, not on punishment or incarceration.

(If it were me, I would still start by contacting my insurance company instead of the police, though. Legally speaking, they are actually the party that has been harmed here...And, you are not legally required to report it to the police...)
Last edited by neardc; September 15,2009 at 4:36pm.
 
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CreolePrincess is offline CreolePrincess Post #8  September 15,2009, 5:10pm
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It is so complicated, ya'll, and it doesn't even have to be.

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I know this is your friend and all and that you don't wish her to be in trouble, but if she's using your insurance information and abusing it, not only is this insurance fraud that you'll be held accountable for one day, but your chart will be flagged at the hospital and you might get treated properly. The doctors might think you're a druggie trying to scam for drugs.
 
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Spider is offline Spider Post #9  September 15,2009, 5:19pm
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neardc wrote :

(If it were me, I would still start by contacting my insurance company instead of the police, though. Legally speaking, they are actually the party that has been harmed here...And, you are not legally required to report it to the police...)

Yes, you're correct. The insurance company is the place to start.

One of my siblings works for a medical practice (pain specialists), with an attached pharmacy. They were "staked out" last month, with undercover police watching the pharmacy for a known fraudulent customer. I think this guy was getting prescriptions in order to resell the drugs, so it was a more serious crime than the one (possibly) described here.

Prescription fraud is amazingly common.
 
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Oregon_Coast_Guy is offline Oregon_Coast_Guy Post #10  September 15,2009, 7:27pm
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Yes, report it. Believe me, this is no friend at all. She will gladly watch you go down.
 
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