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(영문) 부산지방법원 동부지원 2017.06.08 2015고정926
사기
Text

Defendant

B shall be punished by a fine of three million won.

Defendant

B If the above fine is not paid, KRW 100,000.

Reasons

Punishment of the crime

Defendant

B With respect to a disease that can be sufficiently treated even after receiving hospital treatment, the hospital, which is easy to be hospitalized, did not receive proper hospital treatment for a long time after formally entering the hospital, or even if the disease requires hospital treatment, it received hospital treatment for a long time more than necessary, and then received hospital treatment for a long time after receiving hospital treatment. As if the hospital received appropriate hospital treatment, it was issued a certificate, etc. of hospitalization and discharge necessary for claiming insurance money at the hospital, and submitted it to each insurance company to receive insurance money.

Defendant

B On May 16, 2013, at the F Hospital located in Busan-gun E in Busan-gun, the Plaintiff was diagnosed as “urine disease, high blood pressure, and blood transfusion,” etc., and was hospitalized from that time until June 17, 2013.

However, the above treatment can be sufficiently treated by the hospital, but was hospitalized with the intention of receiving insurance money under the name of hospitalization daily allowance, etc. from the insurance company that already joined the hospital, and even according to the content of the treatment during the period of hospitalization, the doctor prescribed that even if there was no record of 35 times or absence of records, it was prepared 4 times, and the content of the treatment was substantially excessive for a long time due to long time outing or staying outside of the hospital by being hospitalized without being subject to active drug treatment, such as being conducted twice.

Nevertheless, on June 3, 2013, the Defendant received a written confirmation of hospitalization as if he had been hospitalized for 33 days, and filed a claim for insurance proceeds on June 3, 2013 with the victim Samsung Life Insurance (ju), and received KRW 190,000 per hospitalization day on June 3, 2013 from the Samsung Life Insurance (ju) who did not know of such fact, and received KRW 12,550,000 per hospitalization day on June 3, 2013, as shown in the “B Crime List”, and received KRW 12,50,000 from the victim insurance company over 26 times before

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