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(영문) 대구지방법원 2017.09.14 2017고단2682
사기
Text

Defendant shall be punished by a fine of KRW 20,000,000.

When the defendant does not pay the above fine, 100,000 won.

Reasons

Punishment of the crime

The Defendant is a doctor of the “G Council member” on the third floor of the building located in the Simsan City F.

The Defendant, on January 4, 2012, pretended to have received medical care benefits in the National Health Insurance Corporation on February 1, 2012, the Defendant received insurance benefits equivalent to KRW 159,080,00 from the victim, including the Defendant’s receipt of medical care benefits around that time, and then received payment from the victim until January 5, 2015, as indicated in the attached Table 1 and 2, including the amount of KRW 60,362,780, total sum of medical care benefits costs, and KRW 37,084,80,00, total sum of medical care benefits costs, and KRW 97,447,660, from the victim.

Summary of Evidence

1. Partial statement of a witness I;

1. A protocol concerning the suspect examination of the accused by the prosecution;

1. Statement made to the prosecutor by the J;

1. A written accusation;

1. The current status of medical care institutions, copies of the examination order, copies of confirmation, facts confirmation, specifications of medical care costs by the present person, copies of the examination and treatment records, one copy of the request for an on-site investigation, one copy of the request for administrative disposition, and one copy of the false list of claims [the following circumstances acknowledged by the above evidence adopted by the court, ① when the medical care benefits and medical care benefits are claimed, the details of the medical care provided by the person who received the medical care under the relevant Acts and subordinate statutes, such as the National Health Insurance Act, are accurately recorded in the medical care records, etc., and on the basis of these records, the medical care costs and non-essential medicine costs cannot be separately claimed since the medical care fees and non-essential medicine costs are included. ② The employees of the Health Insurance Review Board did not request the medical care costs separately since February 9, 2015 to March 13, 2015 after the examination conducted by the Defendant on the part of the members in G operated by the Defendant, but did not enter them in the record, receipt, etc.

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