The insurer receives a demand from an attorney for referral to a specific medical provider. A single medical provider with a high percentage of claimants with attorneys, especially if the same attorney. Medical records consist of pre-fab reports. There are missing dates of service. There are non-sequential notes or lot numbers on invoices.
Medical records show different handwriting on same dates of service.
Medical records show different ink on same dates of service. The same ink and handwriting covering a lengthy period of time on medical records. When medical records are requested, insurer is advised that the records are lost, stolen, or burned. Anesthesia time doesn't match surgery report. Pathology report conflicts with the diagnosis.