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(영문) 부산지방법원 동부지원 2017.02.08 2016고단996

사기

Text

Defendant shall be punished by a fine not exceeding one million won.

Where the defendant fails to pay the above fine, one million won shall be the one day.

Reasons

Punishment of the crime

The Defendant is the intention to operate the “E member” in Busan metropolitan area D from July 15, 2005 to January 8, 2013.

Since the male procedure does not interfere with business or daily life and is not subject to benefits under the National Health Insurance Act, no victim may claim medical care benefits costs against the National Health Insurance Corporation.

In addition, since the medical treatment for the skin that occurred in the course of performing the male surgery subject to one non-benefit is also caused by the procedure for the non-benefit subject, it is not possible to claim medical care costs against the victim.

The Defendant, around April 9, 2009, caused the franchis surgery to the F, who was found in the above member of the Council and performed the franchis surgery, and did not have any medical treatment for the franchis infection.

Nevertheless, around August 20, 2009, the Defendant claimed expenses for medical care benefits to a staff member of the Victim’s Service through mail at the above hospital, and submitted documents files containing the statement of expenses for medical care benefits, prepared as if the Defendant provided medical treatment to F’s “compile” on April 9, 2009.

The Defendant received 9,410 won from the injured party under the F’s pretext of care benefits costs for the treatment of skin salt around that time.

In addition, from February 19, 2009 to June 30, 2010, the Defendant received 655,220 won in total of care benefit costs on 91 occasions from the victim’s Corporation in the same manner from March 6, 2009 to August 16, 2010 by the same method, as in the attached Table 1 “recognised crime sight table.”

Accordingly, the defendant deceivings the victim to take the property by deceiving the victim.

Summary of Evidence

1. Statement by the defendant in court;

1. Each legal statement of witness G and H;

1. The receipt book, the receipt book, and the claimed account book CD, the investigation report (Health Insurance Review Evaluation Institute’s staff interview report), the on-site investigation request, the fact-finding inquiry and unfair claims.