Man in his 60s booked for insurance fraud with false medical certificate… Not sent after supplementary investigation

A man in his 60s who was at risk of being sent to trial on charges of receiving insurance money by obtaining a false medical certificate was cleared of the charges after a supplementary investigation.

According to the legal community on the 8th, Hyehwa Police Station in Seoul recently decided not to forward Mr. A, in his 60s, who was booked on charges of violating the Special Act on Prevention of Insurance Fraud.

Mr. A was booked and investigated by the police on charges of receiving insurance benefits by issuing a false medical certificate from a hospital in 2021. The insurance company sued Mr. A, believing that he had obtained insurance money by collaborating with the hospital and receiving the procedure in multiple installments.

However, Mr. A denied the charges, saying that he received normal treatment according to the doctor's recommendation to treat his disease. At the same time, he claimed that since he received insurance money after going through the insurance company's review process, if there was a mistake, it was the insurance company's fault.

Initially, the police believed that Mr. A was guilty and sent the case to the prosecution with a recommendation for indictment. However, the prosecution judged that a more detailed investigation was necessary and requested a supplementary investigation.

After a supplementary investigation, the police confirmed that Mr. A had received several medical certificates and submitted them to the insurance company, but determined that he had been treated according to the doctor's opinion without any medical expertise. In addition, since the procedure and re-operation were normally recorded in the medical record, it was determined that it could not be said that the patient received a false medical certificate or colluded with the doctor.

Attorney Kim Soo-hwon of Daeryun Law Firm, representing Mr. A, said, “In order to be guilty of insurance fraud, you must receive insurance money based on a false medical certificate, such as intentionally extending the treatment period. However, during the investigation, we were able to avoid punishment by emphasizing the fact that Mr. A received a normal procedure to treat the disease he suffered from.”

Reporter Jeong Cheol-wook

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60-year-old booked for insurance fraud with false medical certificate... Not transferred after supplementary investigation (Shortcut)