Which of the following scenarios is the MOST ACCURATE example of insurer health care fraud?
A.
While acting as an intermediary for a government health care program, the insurance company verifies provider claims before billing the government for them.
B.
To obtain regulatory approval for increasing its rates, the insurance company submits inflated cost data for review.
C.
After negotiating discounts with its medical providers, the insurance company provides the negotiated rate to its consumers instead of the original amount.
D.
Upon identifying that a claimant has provided incomplete information, the insurance company refuses to pay a claim.
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