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Complaint

HL-2026-04826

Provider billing for unrendered PT sessions

New77
Complaint text
Received Nov 25, 2:19 PM via Phone · Facility Brooklyn GPO · ZIP 11201

Comparison against peer providers in the region shows one PT clinic billing 3x the median sessions per OWCP claimant.

AI summary
Generated from the complaint narrative.

Data hint: PT provider bills 3x the peer-group median per OWCP patient with no supporting notes.

Similar prior complaints
Matched by program area and narrative similarity.
HL-2026-04811
Provider billing for unrendered PT sessions
Oct 25, 1969
HL-2026-04812
Upcoding on imaging services
Oct 27, 1969
HL-2026-04827
Upcoding on imaging services
Nov 27, 1969
AI classification
Suggested by the intake model.
Suggested area
Health Care Provider Fraud
Confidence74%
x
Priority score77
x
Assignment
Assigned analyst

Unassigned

Channel

Phone

Facility

Brooklyn GPO

ZIP

11201