Insurance Fraud NEWS
Pennsylvania woman uses fake insurer info to get dental surgery
November 09, 2017, Scottdale, PA
Despite her claims to the contrary, a state appeals court panel has found that a woman committed insurance fraud when she lied so she could get her teeth fixed.
Amy Lee Palmer sent a forged a letter from an insurer to her dental surgeon, who then performed nearly $3,000 in work for which Palmer wasn't actually covered.
That not only constitutes insurance fraud, but also supports Palmer's conviction by a Westmoreland County judge on additional charges of attempted theft by deception and forgery, Judge Carl A. Solano found in a state Superior Court opinion issued this week.
Palmer, 42, of Ligonier, committed the crime in March 2012 when she told the Scottdale oral surgeon she had insurance coverage for the procedure she wanted to have done in advance of a wedding.
She gave the surgeon a letter purporting to be from her insurer. In fact, Solano noted, the letter was a fake, bore the phone number of Palmer's ex-husband, and was signed by someone who didn't even work for the insurer.
The fraud was discovered when the surgeon billed the insurer. Palmer's mother ended up paying for her dental work.
Palmer was sentenced to 6 months of house arrest, plus 4 1/2 years of probation, after county Judge Christopher A. Feliciani convicted her following a nonjury trial.
Source: Penn Live