UPDATE: Is this fraud?

TLDR: Nothing was fixed and new incorrect claims were submitted. Now considering reporting to the FBI.

Hello, so over a month ago I made a post asking if a medical group that I have never even stepped foot into was committing insurance fraud. You can read that post first to get the background.

What I was eventually told was that whoever did the billing made a mistake, and that I was not supposed to be billed for inpatient care. Instead, I was supposed to be billed for three outpatient visits for the psychiatrist that I saw (who is allowed to bill separately from the IOP because she is considered an independent contractor).

I was annoyed that this was never explained verbally to me, it was only in the small print in the dozens of pages of paperwork that I had to sign and was rushed to sign by the person who did my intake. Annoyed, but I already agreed to it so fine.

Anyway, they said that they would submit corrections and that everything would be fixed and right.

Well, of course nothing was fixed. It’s already been over 30 days which is how long they said it would take for the corrections to be made. Not only have the old claims not have been corrected, but new claims have submitted that are still being billed as inpatient care!

This is so annoying! I have called my insurance provider multiple times alerting them to this and they are not helping much. All that they do is offer to set up a three-way call with the medical group, but the medical group does not answer the phone and does not call back.

At this point, I have looked up how to report insurance fraud. From my research, I have found that it is reportable to the California Department of Insurance and to the FBI.

Is this the next step that I should take? Or perhaps report it to the local news? I really don’t know what else to do. It’s just so frustrating that they told me they would fix everything, but instead have just made new errors while not fixing the old errors.