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(영문) 의정부지방법원 2015.07.06 2014고정437
사기
Text

Defendant shall be punished by a fine of KRW 1,000,000.

Where a defendant fails to pay a fine, 100,000 won shall be one day.

Reasons

Punishment of the crime

A physician C’s clinic is a hospital that treats the outpatients, internal medicine, rehabilitation medicine, etc., such as a hospital that treats the outside, internal medicine, and rehabilitation medicine, etc., and such method of treatment is a benefit item included in the insurance benefits of the National Health Insurance Corporation, and individually purchases an accident insurance of a private insurance company, and provides hospitalization together, it is possible to receive 90% or 100% of the medical expenses to be borne by the patient himself/herself according to the terms and conditions of the indemnity medical contract of the private insurance company.

However, patients who were enrolled in the above hospital undergo the diagnosis of minor salt, multi-scalcambling, etc., and these patients need not observe and treat continuously, and there is no need for hospitalization as much as possible as they are available for medical treatment. Despite the fact that doctors C and E wanted to receive insurance money under the name of each insurance company by issuing a certificate of entrance and discharge so that patients can get insurance, raising profits, and explaining the methods of confirming the purchase of insurance for the consulted patients, or having them receive insurance money without actually being hospitalized, and issuing a false certificate of entrance and discharge to the patients. The patients were able to receive insurance money by preparing a false certificate of entrance and discharge to receive insurance money, including a false certificate of entrance discharge issued by the doctor or the head of the office. The patients were able to receive insurance money under the pretext of non- long-term hospitalization, such as medical expenses by submitting the relevant documents, such as a false certificate of entrance and discharge issued by the doctor or the head of the office.

[Defendant A] On May 14, 2012, the Defendant was hospitalized from D Council members located in Seoul Special Metropolitan City, Nowon-gu, for a traffic accident, etc. and was hospitalized for 29 days in order to obtain insurance benefits, the Defendant received a written confirmation of entrance and discharge, and issued a medical certificate, etc., and around June 20, 2012, the victim’s AI life’s name cannot be known.

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