2024-蘑菇视频AT-1460, Al Waleed Abdelrahman Abdrabou
The 蘑菇视频AT noted that the 蘑菇视频DT 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 蘑菇视频AT 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 蘑菇视频DP which was subject to any loss from undue reimbursements.
The 蘑菇视频AT found that the staff member’s certification to Cigna of the correctness of the...