Suspicious medical treatment

• Physician has reputation for handling suspicious claims
• Prolonged or excessive treatment received for minor injury
• Discrepancies exists between treatment or medication and claimed injury
• Sketchy details listed on medical bills
• Medical bills are photocopies and not originals
• Bill is inflated due to "unbundling" - billing for each step of medical procedures
• Insurers for both workers' compensation and group health are billed simultaneously and payment is accepted from both

RED FLAGS

• Suspicious account of accident
• Suspicious timing of claim
• Suspicious nature and extent of injury
• Suspicion that the claimant may be working elsewhere while receiving benefits
• Suspicious medical treatment
• Suspicious engagement of legal assistance