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Defendants shall be punished by a fine of seven million won.
In the event that the Defendants did not pay the above fine, only 100,000 won.
Reasons
Punishment of the crime
The Defendants are the doctors who jointly operate the “G Ansan-si Hospital” in the Seo-gu, Seo-gu, Gwangju.
The term “scopic correction for replacing Ansan and contact lenses,” and the medical expenses before and after surgery related to the foregoing vision correction are implemented in cases not for the purpose of improving the essential function of the body but for the purpose of improving the essential function of the body. Therefore, the medical expenses are not subject to benefits under the National Health Insurance Act, and thus, the victim is not entitled to a medical care benefit
Nevertheless, around May 15, 2013, the Defendants provided medical treatment to the patient H who was found to have received a clinical surgery on May 10, 2013, as a result of medical treatment related to a clinical surgery, which is not eligible for benefits. Although the Defendants did not receive one’s own charge out of the medical expenses from H, around June 21, 2013, filed a claim for medical care benefits with the employee in charge of the victims of the National Health Insurance Corporation, and filed a false claim for the medical care benefits with H around May 15, 2013. Accordingly, the Defendants received 13,530 won from the National Health Insurance Corporation as the medical care benefits for the victim, and then received the total amount of care benefits from the victim from the National Health Insurance Corporation to the National Health Insurance Corporation from June 21, 2013 to April 21, 2015, and received the amount of care benefits from H to 13,530 won as the total amount of care benefits to 984 days in attached Form 984.
As a result, the Defendants conspired to deception the victim by deceiving the victim.
Summary of Evidence
1. Defendants’ respective legal statements
1. The protocol concerning the examination of the suspect of the defendant A or C by the prosecution;
1. The protocol concerning the interrogation of each police suspect against the Defendants
1. The number of medical examinations and treatment conducted before and after the surgery by the name of the injury or injury of each injury or injury of each person, the detailed details of persons who received the health insurance, the detailed details of persons who received the medical benefits, and the unfair claim for the health insurance and medical benefits;