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3名医生来自北海和大山脚医院 最新消息:槟港口公司15名员工 涉虚假索赔
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9/7/2024
新闻报报看 | 在前几天,我们曾报导过有一宗,医生连同中介诈领保险金的骗案,当时还上了星洲封面,假医药报告诈领超过200万令吉。如今有消息爆料,这个诈骗社险其实只是冰山一角,有关行动可能会扩大调查到更多的政府机构。(主播:颜江瀚、洪欣仪)
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00:00
Before watching the video, we would like to remind you that there is more content on the R.E.D.I.N.E. website.
00:05
A few days ago, we reported a piece of news to everyone.
00:09
It was a fraud case where the doctor and the intermediary bribed insurance money.
00:13
At that time, it was also on the cover of the newspaper.
00:15
The headline was,
00:16
A fake medical report bribed more than 2 million dollars.
00:20
The anti-corruption committee confirmed that this was when the insurance agency SOXO
00:23
conducted an internal investigation this year,
00:25
they found this fraud group that had been active for seven years.
00:28
According to the report, three orthopedic surgeons
00:30
used a fake medical report to bribe the agency,
00:33
and then split the compensation with the intermediary.
00:36
The doctors in each case
00:38
were able to bribe about 10,000 dollars.
00:41
After the incident,
00:42
the anti-corruption committee arrested three doctors
00:44
and other 33 members of the fraud group.
00:48
Now that things have come to this,
00:49
there are new developments.
00:50
According to the English News Agency,
00:52
now the anti-corruption committee is not only looking for the perpetrators,
00:56
but also looking for the mastermind behind the whole thing.
00:59
The news broke that
01:00
after a thorough investigation by the authorities,
01:03
it was found that the whole thing was widely involved.
01:06
The doctors arrested by the anti-corruption committee,
01:08
the doctors' staff and intermediaries,
01:10
were all just a piece of ice.
01:13
The related actions may expand the investigation
01:15
to more government agencies.
01:18
As for how to investigate and arrest,
01:21
the news did not reveal more details.
01:24
But at the same time,
01:25
the number of information people revealed more
01:28
about the case and some of the cases.
01:30
The news said that
01:31
the three doctors were determined to be from
01:34
Shibulang Zaiye Government Hospital,
01:35
Dashanjiao Government Hospital,
01:36
and a private hospital in Beihai.
01:39
In addition, the Bingcheng Port Company
01:41
is also one of the focus of the anti-corruption committee.
01:44
At least 15 internal employees
01:46
have been suspected of false compensation since 2019.
01:50
These 15 employees
01:51
have been arrested by the anti-corruption committee
01:52
and have received a letter
01:54
asking for an explanation.
01:56
According to the report,
01:57
fraud cases involving large and complex processes
02:01
usually involve different roles
02:03
and each has his or her own job.
02:05
An employee of a well-known hospital
02:07
broke the news to the Newspaper
02:08
that these intermediaries
02:09
usually wait in the hall of the hospital
02:11
for the victims of the accident
02:13
to approach them and ask for help.
02:16
He said he could help them with the compensation.
02:18
Since the intermediaries coordinate the whole process,
02:20
they can get most of the money.
02:23
The rest of the money
02:24
is allocated to the doctors, patients, and runners.
02:27
And this mode of operation
02:28
has been in place since 2017.
02:33
In other words,
02:34
this model of doctors coordinating with intermediaries and runners
02:37
to extort social insurance money
02:40
has been in operation for seven years.
02:42
But how did it come to be exposed recently?
02:46
A source said
02:47
that every amount of compensation
02:50
provided by fraud groups or fraud groups
02:52
was between 50,000 and 100,000 RMB.
02:55
So this amount
02:56
aroused suspicion among the investigators
02:59
that the same company
03:01
was providing similar medical reports
03:04
and the amount was unusually high.
03:07
That's why they finally exposed this fraud case.
03:11
However, the fraud groups have been able to survive for so long.
03:13
Perhaps part of the reason
03:15
is related to the difficult compensation process.
03:18
That's why the fraud groups
03:20
are able to make money through various channels.
03:22
Zhou Yiyuan from Shibulang, Bincheng, said
03:25
that people who were suspected of applying
03:27
complained to his service center
03:29
about the difficulty of compensation.
03:31
What made him regret
03:33
was that these fake compensations
03:34
would also affect those who really needed help.
03:37
At the same time, he also called on the Binzhou Health Bureau
03:40
to replace the suspect doctors
03:42
from Shibulang and Dashanjiao hospitals.
03:44
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