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58 Medical Institutions Disclosed for Defrauding 4.67 Billion Won in National Health Insurance Claims

58 Medical Institutions Disclosed for Defrauding 4.67 Billion Won in National Health Insurance Claims
▲ Ministry of Health and Welfare

The Ministry of Health and Welfare is disclosing the names, addresses, and representatives of 58 medical institutions that fraudulently claimed National Health Insurance benefit costs starting today (October 1) for a period of six months.

The disclosure targets include 2 hospitals, 36 clinics, 10 dental clinics, 8 traditional Korean medicine clinics, and 2 pharmacies.

The total amount fraudulently claimed by these 58 institutions amounts to 4.67 billion won.

Traditional Korean Medicine Clinic A fabricated records for non-existent ghost patients to claim health insurance benefit costs from the National Health Insurance Service, embezzling more than 900 million won over a period of 17 months.

Under the National Health Insurance Act, the Ministry discloses the names of medical institutions where the fraudulently claimed amount is 15 million won or more, or where the ratio of the fraudulent amount to the total benefit costs is 20 percent or higher.
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