Determine whether the following statements are cases of insurance (a) abuse or (b) fraud. You may use the two choices as many times as needed.

-Failure to make a refund when services are not reasonable or necessary.

Question

Determine whether the following statements are cases of insurance (a) abuse or (b) fraud. You may use the two choices as many times as needed.

-Failure to make a refund when services are not reasonable or necessary.

Quizplus · Accepted Answer

This is a case of insurance abuse as the provider is not providing reasonable or necessary services, but it is not necessarily an intentional act to deceive or misrepresent information for financial gain, which is fraud.

Determine Whether the Following Statements Are Cases of Insurance (A)