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If My Ex Uses a Different Name Than She Is Legally Entitled to for Insurance Benefits, Is It “Fraud”?
redheadedstepchild asked:
<BR%20/>Tags: Health Fraud, Medical Billing, Insurance Coverage <BR%20/>My ex wife was given her maiden name back by court order during our divorce. Yet, two months after the divorce was finalized, she filed a claim on my Health Insurance using her former “married name” to receive health coverage.
Is this Insurance Fraud??
No insurance coverage was provided for in the divorce decree either.
Call your lawyer.
Do you still carry her on your insurance? It’s possible that a doctor she went to before had old insurance info and automatically filed a claim. She might not have even known. Anyway, it’s very easy to have your employer eliminate her from the coverage, then you don’t have to worry about this anymore.
If she is not covered by your insurance, then they should have denied the claim.End of story, end of problem.
Report it to them and let the insurance company decide what to do, if anything. Like the above poster said, it could have been an error by a doctors office, an oversite or an old claim. They are the only ones who could purue any charges anyway, as they are the victim of any potential crime, not you.
if she is still covered by your insurance, then no.
There is a certain time period that if a person was covered by an insurance company, the company has to continue coverage. I think if the person asks and pays for it themselves. ” COBRA ” is the name for it . Don’t know what the letters stand for, just what it does. She would have to use married name because that’s how she was listed with the company before and that’s the only way for them to find her records. If she just filed a claim, was it for something before divorce?