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Thirteen medical centers have just been deconventioned after the discovery of illegal practices. Among the scams, care that has never been carried out, billed to Social Security, which has filed a complaint. The amount of damage amounts to at least 21 million euros.
The 13 centers of the Alliance Vision network are in the sights of Health Insurance which has decided to deconvention them. She accuses them of fraudulent abuses for several years such as the invoicing of fictitious acts. A young man of 22 testifies. His five-minute consultation with an orthoptist was billed 96 euros to Health Insurance without him having seen any doctors. His prescription was signed with the signature of an ophthalmologist he has never seen.
27 complaints filed as of June 2021
The acts are not carried out or unjustified. Examinations are carried out on children for diseases that only affect the elderly. The damage amounts to nearly 21 million euros for Health Insurance, which filed 27 complaints as of June 2021. “Unfortunately, we note that despite these complaints, despite the investigations carried out by the police services under the authority of justice, fraudulent activities continue which justified the fact that in 2022, we were renewing checks”explains Thomas Fantôme, Director General of Health Insurance.