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Carriers Seek to Spin Regulatory Violations into Violations of the New Jersey Insurance Fraud Prevention Act

The Insurance Fraud Prevention Act (IFPA) was designed to prevent people from defrauding insurers by submitting insurance claims containing materially false information. In the healthcare context, a clear cut example of such prohibited conduct would be a physician who submits a health insurance claim form to a carrier for medical services he or she knows were never rendered. The IFPA allows private parties, including insurance carriers, to sue healthcare providers...