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(영문) 인천지방법원 2017.03.02 2016고단7881
사기등
Text

Defendant

A Imprisonment for eight months, Defendant B’s imprisonment for six months, and Defendant C’s fine for KRW 7,00,000, respectively.

Defendant

C.

Reasons

Punishment of the crime

1. Defendant A (G Han-won);

A. The Defendant, as the chief of the department of “G Han-gu Council member” in the Nam-gu Incheon Metropolitan City H, was in charge of the issuance of a written confirmation of medical treatment for patients who found the above Korea Council member and the patient response service.

Although the above patients who found the above medical center did not receive the above medical center, the defendant stated false medical records, etc. as if the above patients received the outpatient treatment, and based on this, he attempted to request the National Health Insurance Corporation to pay the medical care benefits and to obtain it by fraud.

From February 5, 2013 to March 22, 2013, the Defendant entered the medical record, etc. as if he/she received outpatient treatment in a false manner, and accordingly claimed the above I’s medical care benefit costs to the regional headquarters of the National Health Insurance Corporation, and received KRW 8,750,090 on May 2013.

In addition, from November 201 to April 2015, the Defendant received KRW 29,318,180 from the border headquarters of the National Health Insurance Corporation to receive the delivery of KRW 29,18,180 as the cost of medical care benefits for the patients by submitting false documents as if he/she had normally received medical care from 29 patients as shown in the attached Table 1 list of crimes.

B. The Defendant: (a) even though the above patients found the above patients did not receive the above oriental medical treatment, issued a false medical certificate as if they received the above patients with a view to receiving the insurance treatment; and (b) ordered the above patients to submit the relevant documents to an insurance company to file a claim for the insurance money, thereby aiding and abetting the above patients to receive the insurance money from the insurance company.

On March 25, 2013, the Defendant did not receive hospital treatment for 36 days from the above oriental medical clinic to March 22, 2013.

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