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State Farm Mutual Automobile Insurance Co. v. Sanjay Misra, M.D.

Court: WD Tx  02/24/2023   Insurer's RICO Action Alleging Fraudulent Medical Bills Survives Motion to Dismiss

A court for the Western District of Texas denied a Physician's motion to dismiss an insurer's RICO action involving allegations of fraudulent medical bill and records, holding that the insurer had standing and pled sufficient facts regarding the physician's alleged scheme to perform unnecessary procedures to inflate the value of patients' personal injury and uninsured/underinsured claims before submitting those medical records and bills to the patients' attorneys.

Rackateer Influenced and Corrupt Organizations Act, money had and received, standing, Fed. R. Civ. Proc. 12(b)(6), Fed. R. Civ. Proc. 12(b)(1), mail fraud, fraud, RICO

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