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Life Health > Health Insurance > Your Practice

Texas Agent Sentenced in Cancer Claim Case

By Allison Bell

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A state court in Collin County, Texas, has sentenced a former insurance agent from Plano, Texas, to 10 years of probation and 180 hours of community service in connection with a conviction for insurance fraud.

The court has also ordered the former agent to pay $313,068 back to the insurer.

(Related: House OKs Health Care Fraud Prevention Task Force)

The Texas Department of Insurance says the former agent, Karissa White Coleman, bought books on coding cancer insurance claims, then created fake medical records and submitted about 100 claims for cancer-related expenses not covered by major medical insurance.

Texas prosecutors filed insurance fraud charges against Coleman in 2015.

Coleman waived her right to a jury trial and pleaded guilty to the insurance fraud charges, according to the Collins County court case tracking system.

Coleman has a co-defendant, according to the court case tracking system.

The court ordered her to have no contact with the co-defendant and to testify honestly about the co-defendant, according to the case tracking system.

Coleman and her attorney, Malcolm Miranda, could not be reached for comment on the case.

— Read AHIMA: ICD-10 Shift Creaks to Life, on ThinkAdvisor.

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Allison Bell

Think_Allison

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