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False claim schemes are operated by policyholders or medical care providers. In these schemes, the operator deliberately submits false information to an insurer, government plan or other payer to obtain undeserved payment on a claim or series of claims. False claim schemes are the most common type of health insurance fraud. These schemes are operated by a dishonest minority of policyholders and medical care providers. The goal in these schemes is to obtain undeserved payment for a claim or series of claims.

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