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Tuesday, August 18, 2026

GEICO says three Miami clinics billed $1.35 million in false no-fault claims - Insurance Business

One doctor allegedly covered three clinics - on some days for more than 30 hours

GEICO says three Miami clinics billed it more than $1.35 million in no-fault claims built on a physician who never really ran them.

Government Employees Insurance Co., with three affiliated GEICO carriers, filed suit in the US District Court for the Southern District of Florida on August 17, 2026, accusing a group of Miami personal injury protection clinics of a billing fraud it says ran for years.

The complaint names three clinics - A&Y Rehabilitation Medical Center, New World Health, and Rehab & Therapy Wellness of South Florida - along with their owners and a physician GEICO says was listed as medical director at all three. According to the filing, the clinics billed thousands of no-fault charges for exams, physical therapy, and nerve-stimulation treatments starting no later than 2021.

Florida's Health Care Clinic Act sits at the heart of the claim. The Act requires a real medical director who checks billing for fraud and confirms staff are properly licensed. Without one, the complaint says, a clinic's charges are "noncompensable and unenforceable" - and that holds whether or not the treatment ever happened. GEICO alleges the physician was paid to fill that role at all three clinics without doing the work.

The insurer's clearest illustration is arithmetic. The complaint says the billing credited the physician with more hours than a day holds. GEICO says it received bills for "more...



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