Zhuhai has uncovered the first major social security fraud
doctor involved in the sale of the insured person has left frequent drug profits
a company is only four employees, all are done in patients with uremia and renal transplantation; the same firm are only three other employees have done all kidney transplant. Per capita to foreign accounts insured, insurance companies nor the actual office location and the actual business activities. It is strange that the social security sector caused the attention of Zhuhai, Zhuhai, which opened the first major social security fund fraud scam.
yesterday, Zhuhai City, Zhuhai City Public Security Bureau of Economic Investigation Detachment Joint Human Resources and Social Security Bureau's external communications, the city's first major social insurance fraud has successfully cracked.
suspect Lee set up a false company mustered more than patients insured air hung in Zhuhai, Nanning and other insurance frequently repeated doctor, suspected of defrauding the social security fund to pay high medical costs, the insured person has a doctor selling medicines through frequent extra profit.
co-workers are suffering from uremia
2010 At the end, center of Zhuhai City in the medical treatment of the social security fund audit found Xiemou other eight insured social insurance fund fraud The suspects: In addition to a labor relations in patients with uremia hung a business name, 4 uremic patients with a trading company employee in Zhuhai, and the company of only four workers have done a kidney transplant; other three uremic patients with a firm of Zhuhai only three employees.
this bizarre phenomenon caused Zhuhai Bureau of Human Resources and Social Security high priority, then has the case transferred to the Zhuhai Municipal Public Security Bureau of Economic Investigation Detachment for further investigation.
case investigators eventually locked the main suspects
frequently left to see a doctor selling medicines profit
social health insurance under the existing relevant laws and regulations, if not the local household registration and in the local labor relations is impossible without any participation in the local community medical insurance, a person can not simultaneously participate in more than two (including two) social health insurance.
The investigation, Lee and the total number of patients to the center of Zhuhai, the social security reimbursement of medical expenses fraud nearly 55 million. In addition to labor relations in Zhuhai with an empty way of fraud linked to social health insurance, also participated in the social medical insurance in Nanning, Shenzhen, while Lee himself also took part in the social health insurance.
these patients have been enrolled in Nanning,
abercrombie and fitch, Guangzhou, Zhuhai, frequent medical care, in addition to defrauding the social security fund to pay high medical costs, more frequent doctor will profit from the sale of surplus drugs.
account, according to Lee, in less than two years before the incident, which I also by the sale of illegal drugs profits remaining 6 million yuan.
In addition, Lee was a patient of each blank to buy a hanging labor relations commission on Social Health Insurance 1000.
why he is potentially fraudulent?
Lee called the reimbursement cost of surgery
after trial, He uremia in early 2008 in a hospital in Nanning kidney transplant.
Labor Relations fiction as fiction
after surgery in order to pay costs, in September 2008 masquerade Lee and his fiction with another insurance company's labor relations, from September 2008 to July 2010 period, Lee to million yuan.
Lee to adopt the same modus operandi was the same in Nanning kidney transplant patients did Chen, Shen, Sumou, Yangmou Zhen, Yang Mouying permanent residents and other fictional labor relations field, and air link insurance, a total of defrauding the Social Security Center, Zhuhai, reimbursement of medical expenses of more than 40 million.
seriously ill bail
yesterday, police investigators described the suspect Lee's behavior has violated the
suffering from serious diseases because of the public security organs according to their bail enforcement measures taken. Potentially fraudulent acts of others which are still Investigating further.