Dental bills submitted for services not rendered, such as billing for crown and bridge work where root canal was actually performed. Medical provider submits identical claims for the same patient in different calendar years. Several medical bills submitted on different dates, each showing same dates of service or overlapping dates of service. Dates of service in doctor's notes do not match dates of service on the bill. Office visits are not itemized by date and type of service.
Medical bills list duplicate procedures or unbundled procedures to maximize payment.
Medical services billed but not rendered. Medical provider has never seen the patient on the dates indicated on the bill or has no knowledge of the patient. Medical bills received from multiple medical providers who are not specialists. Medical bills addressed to claimant's attorney. Photocopies are submitted rather than originals.