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insurance fraud An Ohio jury has awarded Medical Mutual of Ohio more than $50 million in damages in its lawsuit against FrontPath Health Coalition and HealthScope Benefits, a subsidiary of UnitedHealthcare. FrontPath offers employee benefits solutions, and HealthScope is a third-party administrator.
Medical Mutual accused the two companies of conspiring to form an enterprise that consisted of their executives and engaging in fraudulent practices that manipulated the bidding process for a health benefits contract with the city of Toledo in 2015 and 2018. Medical Mutual claimed that the two companies gained unauthorized access to its confidential financial data, which they then used to artificially lower bids.
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