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Sunlit waiting area in a modern building with light blue chairs, potted plants, wall clocks, and large windows overlooking greenery. The reception desk—similar to those found at a San Francisco healthcare fraud lawyer’s office—is visible in the background.
waiting area for patients with doctor appointments in modern healthcare clinic in private practice hopital.

Settlement With Independent Health, Up to $100 Million

Whistleblower Partners attorneys represented a whistleblower in a suit that resulted in a 2024 settlement of up to $100 million with Independent Health, a Medicare Advantage Organization in Western New York. The whistleblower, who will receive a relator’s share of 22.5%, alleged that Independent Health, and one of its former subsidiaries called DxID, flaunted Medicare rules and submitted improper diagnosis codes to the Medicare Advantage program, resulting in higher payments to the insurer. A separate Defendant in this whistleblower case, Group Health Cooperative, agreed to pay $6.375 million in 2020 to resolve similar allegations. This is the fifth settlement in which Whistleblower Partners attorneys have successfully represented whistleblowers alleging risk adjustment fraud.

Read more here.

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