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(영문) 창원지방법원 진주지원 2015.07.21 2015고단337
사기
Text

A defendant shall be punished by imprisonment for one year.

except that the execution of the above punishment shall be suspended for two years from the date this judgment becomes final and conclusive.

Reasons

Punishment of the crime

The Defendant, from July 3, 1992 to July 18, 2014, entered the medical records, such as electronic date of internal organs, details of medical treatment, etc., into the National Health Insurance Service Review and Assessment Service, as if he/she actually provided medical treatment to patients who did not receive medical treatment by internal organs, and submitted them to the Health Insurance Service Review and Assessment Service to obtain money from each of the following methods.

1. On May 1, 2010, the Defendant of the National Health Insurance Corporation: (a) was a member of the National Health Insurance Corporation (hereinafter “National Health Insurance Corporation”); and (b) on April 1, 2010, the Defendant, even though having not received medical treatment by either a member of the National Health Insurance Service, prepared false medical records as if he/she had received medical treatment, and submitted them to the Health Insurance Review and Assessment Service, to request KRW 13,150 for the expenses for health insurance and medical care benefits; (c) deceiving the employees of the Health Insurance Corporation; and (d) received KRW 13,150 from the victim of the

In addition, from May 2010 to April 2013, the Defendant received a total of KRW 103,332,280 as the sum of the health insurance benefit costs for patients 7,369 in the following method, such as the list of crimes (1) in attached Form 36.

2. On May 1, 2010, the Defendant: (a) the Defendant: (b) the Defendant: (c) the Defendant: (a) at the first police officer of the Korean War on April 1, 2010; (d) the Defendant: (c) the Defendant prepared a false medical record as if he/she did not receive medical treatment on the part of the said Korean Council; (c) provided the Health Insurance Review and Assessment Service with the medical record; (d) instead, (d) instead of having received medical treatment on April 1, 2010; and (e) deceiving the employees of the Health Insurance Review and Assessment Service by requesting for medical expenses of KRW 28,180; and (e)

In addition, the defendant is from May 2010 to April 2013.

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