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(영문) 울산지방법원 2019.06.13 2019고단931
사기
Text

Defendant shall be punished by a fine of KRW 15 million.

If the defendant does not pay the above fine, KRW 100,000.

Reasons

Punishment of the crime

The Defendant is a doctor who operated “C Council member” on the second floor of Busan Jin-gu, Busan from August 28, 2015 to April 28, 2017.

1. The Defendant, upon receiving a claim for the increase of the number of days of internal origin, made a false medical record as if he were aware of the personal information of the winners who received the medical examination and treatment at the above C Council members on the date on which the winners did not know of the personal information, and tried to acquire it by fraud by claiming medical care benefit costs from the National Health Insurance Corporation and the local government to which the recipient belongs.

Around August 4, 2014, the Defendant: (a) prepared a false medical examination and treatment record stating that D was provided with medical care to C in the name of “a open room with no damage to saws” around July 10, 2014; (b) based on this, D received medical care benefits from the victim to the National Health Insurance Corporation, claiming for medical care benefits from the victim; and (c) received KRW 21,410 from the victim from the victim by the same method over a total of 3451 times, such as the attached Table I, from around that time until July 1, 2016.

2. Medical care benefits claim prevention and treatment of non-benefit medical care benefits for the medical treatment subject to medical care benefits, the purpose of which is to issue various certificates, such as medical examinations at the request of the person who does not directly use for disease, injury, vaccination, and diagnosis certificates for persons with disabilities, etc., are excluded from the eligibility for medical care benefits (hereinafter referred to as "non-benefit subject"), and if medical care benefits have been provided to persons eligible for non-benefit subject to medical care benefits, the medical care benefits shall be collected in full from the persons who receive the medical care

Nevertheless, the defendant actually provides medical treatment to patients who are subject to non-benefit.

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