2024-Ä¢¹½ÊÓÆµAT-1460, Al Waleed Abdelrahman Abdrabou
The Ä¢¹½ÊÓÆµAT noted that the Ä¢¹½ÊÓÆµDT had appropriately relied on the clear and convincing evidence to conclude that the staff member had submitted a medical insurance claim to Cigna for medical services that had never been provided.
The Ä¢¹½ÊÓÆµAT held that the evidence established that it was highly probable that the staff member had made the misrepresentation to Cigna with the intent to deceive and that his actions had been potentially prejudicial to the Ä¢¹½ÊÓÆµDP which was subject to any loss from undue reimbursements.
The Ä¢¹½ÊÓÆµAT found that the staff member¡¯s certification to Cigna of the correctness of the...