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Rehab clinic in Ontario convicted for submitting false invoices and treatment plans, fined $50,000


May 13, 2011   by Canadian Underwriter


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Pioneer Rehabilitation Clinic Inc. has pleaded guilty to knowingly making false or misleading statements to an insurer in order to obtain payment for goods and services provided to an insured in the Ontario Court of Justice in Toronto on May 12, 2011.
The court ordered a conviction and a $50,000 fine. Pioneer must also pay a $12,500 surcharge to the Victims’ Justice Fund.
The Financial Services Commission of Ontario (FSCO) laid charges against Pioneer in August 2010. Following an investigation, FSCO found Pioneer had submitted false treatment plans and false invoices, in some cases to get paid for treatment that was never provided.
“Abuses of the auto insurance system by unscrupulous participants will not be tolerated,” Philip Howell, CEO and superintendent of FSCO, said in a statement posted on the financial regulator’s Web site. “FSCO will continue to prosecute these abuses.”


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